Active NPI
Zachary Wilson
- Physical Therapist
- Plattsmouth, NE
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 4675
- Practice address
- 16385 Westside Dr Ste 1
Plattsmouth, NE 68048-6104 - Phone
- (402) 870-4521
- NPI assigned
- Jun 28, 2024
- Last updated
- Jun 28, 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 | 4675 | NE | Primary |
Addresses
Primary practice location
16385 Westside Dr Ste 1
Plattsmouth, NE 68048-6104
Mailing address
PO Box 34669
Omaha, NE 68134-0669
Phone (402) 932-6791
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
- College of Medicine and Surgery, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
16385 Westside Dr
1 Makovicka Physical Therapy
Plattsmouth, NE 68048-6104
Phone (402) 870-4521
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Makovicka Harms Group PC | Physical Therapist | Current | Accepting new patients |
Locations
4235 N 90th St
Omaha, NE 68134
Phone (402) 934-0045
16385 Westside Dr
Ste 1
Plattsmouth, NE 68048
Phone (402) 870-4521
Organizations & group practices 1
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": "1719532800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1719532800000",
"number": "1396580577",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 34669",
"city": "OMAHA",
"state": "NE",
"postal_code": "681340669",
"telephone_number": "402-932-6791"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16385 WESTSIDE DR STE 1",
"city": "PLATTSMOUTH",
"state": "NE",
"postal_code": "680486104",
"telephone_number": "402-870-4521"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILSON",
"first_name": "ZACHARY",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-06-28",
"last_updated": "2024-06-28",
"certification_date": "2024-06-28",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NE",
"license": "4675",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Plattsmouth, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 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.