Active NPI
Nicholas Garrett Wegener, DPT
- Orthopedic Physical Therapist
- Omaha, NE
National Provider Identifier
1447335161
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- 2718
- Practice address
- 13809 Industrial Rd
Omaha, NE 68137-1117 - Phone
- (402) 932-7111
- Fax
- (402) 932-6878
- NPI assigned
- Oct 25, 2006
- 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 |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | 2718 | NE | Primary |
Addresses
Primary practice location
13809 Industrial Rd
Omaha, NE 68137-1117
Mailing address
13809 Industrial Rd
Omaha, NE 68137-1117
Phone (402) 932-7111
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2718 | NE | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161734400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1264377600000",
"number": "1447335161",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13809 INDUSTRIAL RD",
"city": "OMAHA",
"state": "NE",
"postal_code": "681371117",
"telephone_number": "402-932-7111",
"fax_number": "402-932-6878"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13809 INDUSTRIAL RD",
"city": "OMAHA",
"state": "NE",
"postal_code": "681371117",
"telephone_number": "402-932-7111",
"fax_number": "402-932-6878"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEGENER",
"first_name": "NICHOLAS",
"middle_name": "GARRETT",
"name_prefix": "Mr.",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-25",
"last_updated": "2010-01-25",
"status": "A"
},
"taxonomies": [
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "NE",
"license": "2718",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 Jan 25, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.