Whitney Dam, DPT. PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

3564 Issued in NE

Practice address

1445 N Bell St
Fremont, NE 68025-3534

Phone

(402) 512-3893

Fax

(402) 509-3103

NPI assigned

Jun 1, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Whitney Ebke Former name

Medicare fee-for-service enrollment

Enrolled in NE

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Fremont Therapy and Wellness PCGroup PAC ID 5799056826, 9 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Fremont Therapy & Wellness, P.C.

  • Physical Therapist
  • Fremont, NE
  • NPI 1013441807
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1464739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663632000000",
    "number": "1669820585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1445 N BELL ST",
            "city": "FREMONT",
            "state": "NE",
            "postal_code": "680253534",
            "telephone_number": "402-512-3893",
            "fax_number": "402-509-3103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1445 N BELL ST",
            "city": "FREMONT",
            "state": "NE",
            "postal_code": "680253534",
            "telephone_number": "402-512-3893",
            "fax_number": "402-509-3103"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "636 N 20th Ave",
            "address_purpose": "LOCATION",
            "city": "Blair",
            "state": "NE",
            "postal_code": "680081116",
            "country_code": "US",
            "telephone_number": "402-426-3488",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2123 E 23rd Ave S",
            "address_purpose": "LOCATION",
            "city": "Fremont",
            "state": "NE",
            "postal_code": "680252498",
            "country_code": "US",
            "telephone_number": "402-721-1112",
            "fax_number": "402-721-1113",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAM",
        "first_name": "WHITNEY",
        "credential": "DPT. PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-06-01",
        "last_updated": "2022-09-20",
        "certification_date": "2022-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NE",
            "license": "3564",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "WHITNEY",
            "last_name": "EBKE",
            "credential": "PT DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Physical Therapist in Fremont, NE
• Providers in Fremont, NE by specialty
• Physical Therapist in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2022; 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.