Active NPI
Ryan John Wolken, PT, DPT
- Physical Therapist
- Oakland, NE
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2699
- 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, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10025464600 | Medicaid | NE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NE
Enrollment records 1
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
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jacobsen Therapy Services LLC | Physical Therapy | Current | Accepting new patients |
| Wolken Therapy & Wellness LLC | Physical Therapist | Current | Accepting new patients |
| Johnson Rehabilitation and Sports Performance | Physical Therapy | Past | 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.
-
- Physical Therapy Clinic/Center
- Oakland, NE
- NPI 1760064380
Physical Therapist
-
- Physical Therapy Clinic/Center
- Oakland, NE
- NPI 1053744458
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.