Stacey L Brandt, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

209 W 3Rd St
Wilber, NE 68465-3144

Phone

(402) 821-3320

Fax

(402) 821-2177

NPI assigned

Jun 24, 2009

Last updated

Aug 18, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NE

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Wilber Physical Therapy, LLCGroup PAC ID 5395977144, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Wilber Physical Therapy LLC

  • Physical Therapist
  • Wilber, NE
  • NPI 1366793051
  Medicare reassignment Care Compare group NPD Authorized official
• Husker Rehabilitation and Wellness Centers, P.C.

  • Physical Therapist
  • Lincoln, NE
  • NPI 1427042688
  NPD (past)

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

{
    "created_epoch": "1245801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660780800000",
    "number": "1396973707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 692",
            "city": "WILBER",
            "state": "NE",
            "postal_code": "684650692",
            "telephone_number": "402-821-3320",
            "fax_number": "402-821-2177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 W 3RD ST",
            "city": "WILBER",
            "state": "NE",
            "postal_code": "684653144",
            "telephone_number": "402-821-3320",
            "fax_number": "402-821-2177"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "215 N 19th St",
            "address_purpose": "LOCATION",
            "city": "Beatrice",
            "state": "NE",
            "postal_code": "683103218",
            "country_code": "US",
            "telephone_number": "402-239-3899",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRANDT",
        "first_name": "STACEY",
        "middle_name": "L",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-24",
        "last_updated": "2022-08-18",
        "certification_date": "2022-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Barnas Drug Inc (Barnas Drug)
• Katelyn Marie Bishop, PTA
• Ava Breland
• Carly Burianek
• City of Wilber
• County of Saline District #82 (Wilber Clatonia Public School)
• Crete Area Medical Center (Wilber Medical Clinic)

• Physical Therapist in Wilber, NE
• Providers in Wilber, NE by specialty
• Physical Therapist in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2022; 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.