Individual provider Active NPI

Daniel James Witte, DPT

  • Physical Therapist
  • Louisville, NE
National Provider Identifier
1497076756
Registry record updated Feb 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2866 Issued in NE
Practice address
1268 E Henry Street
Suite 1
Louisville, NE 68037
Phone
(402) 234-3333
Fax
(844) 272-6479
NPI assigned
Jun 21, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2019

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 2866 NE Primary

Addresses

Primary practice location

1268 E Henry Street
Suite 1
Louisville, NE 68037

Mailing address

PO Box 68
Louisville, NE 68037-0068
Phone (402) 234-3333

Other practice location 1

4201 N 90th St
Omaha, NE 68134-4136
Phone (402) 934-0045

Other identifiers 1

IdentifierTypeStateIssuer
1497076756OtherNEINDIVIDUAL NPI

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100813000970 NE Practitioner - Physical Therapist in Private Practice 0840324760 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Witte Physical TherapyGroup PAC ID 2365758588, 7 clinicians

Practice addresses (Care Compare)

1268 E Henry St
Suite 1
Louisville, NE 68037-7025
Phone (402) 234-3333

16304 Westside Dr
Plattsmouth, NE 68048-6104
Phone (402) 298-4747

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2866NEMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Witte Physical Therapy Physical Therapist CurrentSince Jul 1, 2015 Accepting new patients
Makovicka Harms Group, PC Physical Therapist Past Accepting new patients

Locations

1268 E Henry St
Ste 1
Louisville, NE 68037
Phone (402) 233-4333

16304 Westside Dr
#4
Plattsmouth, NE 68048

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": "1277078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549843200000",
    "number": "1497076756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 68",
            "city": "LOUISVILLE",
            "state": "NE",
            "postal_code": "680370068",
            "telephone_number": "402-234-3333",
            "fax_number": "402-234-3333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1268 E HENRY STREET",
            "address_2": "SUITE 1",
            "city": "LOUISVILLE",
            "state": "NE",
            "postal_code": "68037",
            "telephone_number": "402-234-3333",
            "fax_number": "844-272-6479"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4201 N 90th St",
            "address_purpose": "LOCATION",
            "city": "Omaha",
            "state": "NE",
            "postal_code": "681344136",
            "country_code": "US",
            "telephone_number": "402-934-0045",
            "fax_number": "402-934-6562",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WITTE",
        "first_name": "DANIEL",
        "middle_name": "JAMES",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-21",
        "last_updated": "2019-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NE",
            "license": "2866",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1497076756",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2019; 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.