Individual provider Active NPI

Alyssa Powell, DPT

  • Physical Therapist
  • Omaha, NE
National Provider Identifier
1437673928
Registry record updated Oct 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
3766 Issued in NE
Practice address
4614 S 132ND St
Omaha, NE 68137-1764
Phone
(402) 330-3211
Fax
(402) 330-5970
NPI assigned
Jul 27, 2017
Last updated
Oct 6, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2021

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 3766 NE Primary

Addresses

Primary practice location

4614 S 132ND St
Omaha, NE 68137-1764

Mailing address

4614 S 132ND St
Omaha, NE 68137-1764
Phone (402) 330-3211

Other identifiers 1

IdentifierTypeStateIssuer
47065477701MedicaidNE

Other names 1

  • Alyssa Kamphaus Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170811000621 NE Practitioner - Physical Therapist in Private Practice 4486925385 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Creighton University School of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Procare 3 IncGroup PAC ID 3072586254, 31 clinicians

Practice addresses (Care Compare)

4614 S 132ND St
Fyzical Therapy
Omaha, NE 68137-1764
Phone (402) 330-3211

Merit-based Incentive Payment System (MIPS)

Final score
61.16 of 100Reported as group
Quality
62.36
Improvement activities
40
Cost
39.53

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Husker Rehabilitation and Wellness Centers, P.C. Physical Therapist CurrentSince Apr 30, 2018 Accepting new patients
Makovicka Harms Group PC Physical Therapist PastSince Jul 28, 2017 Accepting new patients

Locations

4911 N 26th St
Ste 100
Lincoln, NE 68521
Phone (402) 477-3110

115 S 8th St
Nebraska City, NE 68410
Phone (402) 209-0585

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": "1501113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633478400000",
    "number": "1437673928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4614 S 132ND ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681371764",
            "telephone_number": "402-330-3211",
            "fax_number": "402-330-5970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4614 S 132ND ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681371764",
            "telephone_number": "402-330-3211",
            "fax_number": "402-330-5970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POWELL",
        "first_name": "ALYSSA",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-27",
        "last_updated": "2021-10-06",
        "certification_date": "2021-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NE",
            "license": "3766",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "47065477701",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALYSSA",
            "last_name": "KAMPHAUS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Omaha, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2021; 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.