Individual provider Active NPI

Ryan John Wolken, PT, DPT

  • Physical Therapist
  • Oakland, NE
National Provider Identifier
1356661078
Registry record updated Oct 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2699 Issued in NE
Practice address
312 N Oakland Ave
Oakland, NE 68045-1196
Phone
(402) 685-4499
Fax
(402) 685-4491
NPI assigned
Jun 4, 2010
Last updated
Oct 17, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 2699 NE Primary

Addresses

Primary practice location

312 N Oakland Ave
Oakland, NE 68045-1196

Mailing address

PO Box 101
Oakland, NE 68045-0101
Phone (402) 685-4499

Other practice location 1

2108 Taylor Ave
Ste 1100
Norfolk, NE 68701-4642
Phone (402) 371-7545

Other practice location 2

212 Sunrise Dr
Clarkson, NE 68629-4042
Phone (402) 892-9837

Other identifiers 1

IdentifierTypeStateIssuer
10025464600MedicaidNE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160718000434 NE Practitioner - Physical Therapist in Private Practice 9234421991 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Creighton University School of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jacobsen Therapy Services LLCGroup PAC ID 1759381023, 5 clinicians
Wolken Therapy and Wellness LLCGroup PAC ID 9931509759, 4 clinicians

Practice addresses (Care Compare)

2108 Taylor Ave
Suite 1100
Norfolk, NE 68701-4642
Phone (402) 371-7545

312 N Oakland Ave
Oakland, NE 68045-1196
Phone (402) 685-4499

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Jacobsen Therapy Services LLC Physical Therapy CurrentSince Jul 12, 2016 Accepting new patients
Wolken Therapy & Wellness LLC Physical Therapist CurrentSince Jul 14, 2021 Accepting new patients
Johnson Rehabilitation and Sports Performance Physical Therapy PastSince Jul 14, 2021 Accepting new patients

Locations

901 S 4th St
Battle Creek, NE 68715
Phone (402) 675-2955

212 Sunrise Dr
Clarkson, NE 68629
Phone (402) 892-3494

2108 Taylor Ave
Ste 1100
Norfolk, NE 68701
Phone (402) 371-7545

312 N Oakland Ave
Oakland, NE 68045
Phone (402) 380-1479

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1275609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729123200000",
    "number": "1356661078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 101",
            "city": "OAKLAND",
            "state": "NE",
            "postal_code": "680450101",
            "telephone_number": "402-685-4499",
            "fax_number": "402-685-4491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312 N OAKLAND AVE",
            "city": "OAKLAND",
            "state": "NE",
            "postal_code": "680451196",
            "telephone_number": "402-685-4499",
            "fax_number": "402-685-4491"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2108 TAYLOR AVE",
            "address_2": "STE 1100",
            "address_purpose": "LOCATION",
            "city": "NORFOLK",
            "state": "NE",
            "postal_code": "687014642",
            "country_code": "US",
            "telephone_number": "402-371-7545",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "212 Sunrise Dr",
            "address_purpose": "LOCATION",
            "city": "Clarkson",
            "state": "NE",
            "postal_code": "686294042",
            "country_code": "US",
            "telephone_number": "402-892-9837",
            "fax_number": "402-892-3290",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WOLKEN",
        "first_name": "RYAN",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-04",
        "last_updated": "2024-10-17",
        "certification_date": "2024-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NE",
            "license": "2699",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10025464600",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.