Wildcat LLC

Primary specialty

Sports Physical TherapistTaxonomy code 2251S0007X

Legal business name

WILDCAT LLC

Practice address

111 Main St
Wayne, NE 68787-1923

Phone

(402) 375-7310

Fax

(402) 375-7572

NPI assigned

Dec 26, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Regg Swanson

Title

Partner

Phone

(615) 591-6590

Specialties & licenses 1

Addresses

Other names 1

• STAR Physical Therapy dba Wildcat sports medicine Former legal business name

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Katie Kroenke, ATC

  • Student in an Organized Health Care Education/Training Program
  • Wayne, NE
  • NPI 1679004428
  NPD (past)

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

{
    "created_epoch": "1167091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1447315858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 681478",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370681478",
            "telephone_number": "615-591-6590",
            "fax_number": "615-591-6601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 MAIN ST",
            "city": "WAYNE",
            "state": "NE",
            "postal_code": "687871923",
            "telephone_number": "402-375-7310",
            "fax_number": "402-375-7572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILDCAT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SWANSON",
        "authorized_official_first_name": "REGG",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "615-591-6590"
    },
    "taxonomies": [
        {
            "code": "2251S0007X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Sports",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "STAR Physical Therapy dba Wildcat sports medicine",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Gary West, PA
• Roxanna Lee Westad Pechtel
• Westholl Inc (U-Save Pharmacy Wayne)
• Westholl Inc (U-Save Pharmacy)
• Ashlynn Estella Whitley
• Kennedy Wobker
• Wendy Wooldrik
• Tammy J Woslager, PLMHP
• Abby Marie Wragge
• Bridget Yamber

• Sports Physical Therapist in Wayne, NE
• Providers in Wayne, NE by specialty
• Sports Physical Therapist in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.