Individual provider Active NPI

Nicole J. Weinhold, P.T.

  • Physical Therapist
  • Papillion, NE
National Provider Identifier
1467526491
Registry record updated Aug 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2028 Issued in NE
Practice address
11336 S 96TH St Ste 114
Papillion, NE 68046-4211
Phone
(402) 315-3603
Fax
(402) 315-3604
NPI assigned
Nov 20, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Physical Therapist 2251S0007X 2028 NE
Orthopedic Physical Therapist 2251X0800X 2028 NE
Physical Therapist 225100000X 2028 NE Primary

Addresses

Primary practice location

11336 S 96TH St Ste 114
Papillion, NE 68046-4211

Mailing address

11336 S 96TH St Ste 114
Papillion, NE 68046-4211
Phone (402) 315-3603

Other names 1

  • Nicole J Koch Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040607000618 NE Practitioner - Physical Therapist in Private Practice 0244212801 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2028NEMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Rehabvisions Therapy Mo LLC Physical Therapist CurrentSince Jan 26, 2025 Accepting new patients
Leading Edge, Inc Physical Therapist CurrentSince Jun 2, 2024 Accepting new patients

Locations

11336 S 96th St
Ste 114
Papillion, NE 68046
Phone (402) 315-3603

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722470400000",
    "number": "1467526491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11336 S 96TH ST STE 114",
            "city": "PAPILLION",
            "state": "NE",
            "postal_code": "680464211",
            "telephone_number": "402-315-3603",
            "fax_number": "402-315-3604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11336 S 96TH ST STE 114",
            "city": "PAPILLION",
            "state": "NE",
            "postal_code": "680464211",
            "telephone_number": "402-315-3603",
            "fax_number": "402-315-3604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEINHOLD",
        "first_name": "NICOLE",
        "middle_name": "J.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-20",
        "last_updated": "2024-08-01",
        "certification_date": "2024-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251S0007X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Sports",
            "state": "NE",
            "license": "2028",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "NE",
            "license": "2028",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NE",
            "license": "2028",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICOLE",
            "last_name": "KOCH",
            "middle_name": "J",
            "credential": "P.T.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Papillion, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.