Individual provider Active NPI

Marissa Kay, DPT

  • Physical Therapist
  • Papillion, NE
National Provider Identifier
1497642334
Registry record updated Jun 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
132415 Issued in IA
Practice address
11336 S 96TH St Ste 114
Papillion, NE 68046-4211
Phone
(402) 315-3603
NPI assigned
Jun 23, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X CP044732T NE
Physical Therapist 225100000X 132415 IA Primary

Addresses

Primary practice location

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

Mailing address

25010 330TH St
Minden, IA 51553-4030
Phone (712) 309-6991

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260410002415 NE Practitioner - Physical Therapist in Private Practice 0749755304 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2022
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

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

11623 Arbor St
Omaha, NE 68144-2934

25010 330TH St
Minden, IA 51553-4030

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
132415IAMDPhysical Therapist
CP044732TNEMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Rehabvisions Therapy Mo LLC Physical Therapist CurrentSince Jun 29, 2025 Accepting new patients
Leading Edge, Inc Physical Therapist CurrentSince Jun 29, 2025 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": "1750636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750636800000",
    "number": "1497642334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25010 330TH ST",
            "city": "MINDEN",
            "state": "IA",
            "postal_code": "515534030",
            "telephone_number": "712-309-6991"
        },
        {
            "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"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAY",
        "first_name": "MARISSA",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-06-23",
        "last_updated": "2025-06-23",
        "certification_date": "2025-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NE",
            "license": "CP044732T",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IA",
            "license": "132415",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jun 23, 2025; 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.