Individual provider Active NPI

Dirk Hans Nebbeling, PT

  • Physical Therapist
  • Dodge City, KS
National Provider Identifier
1699756254
Registry record updated Jan 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2737 Issued in KS
Practice address
2020 Central Avenue
Dodge City, KS 67801-1000
Phone
(620) 227-1371
Fax
(620) 227-1208
NPI assigned
Nov 10, 2005
Last updated
Jan 24, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2013

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 2737 KS Primary

Addresses

Primary practice location

2020 Central Avenue
Dodge City, KS 67801-1000

Mailing address

2020 Central Avenue
Dodge City, KS 67801-1000
Phone (620) 227-1371

Other identifiers 1

IdentifierTypeStateIssuer
100351040AMedicaidKS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100720000917 KS Practitioner - Physical Therapist in Private Practice 2860596095 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Accelacare Physical Therapy LLCGroup PAC ID 4981606670, 6 clinicians

Practice addresses (Care Compare)

101 E Fulton St
Garden City, KS 67846-5455
Phone (620) 271-0700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2737KSMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Phillips Chiropractic P.a. CurrentSince Nov 1, 2019 Accepting new patients
Phillips Chiropractic P.a. Physical Therapist CurrentSince Nov 1, 2019 Accepting new patients
Soteria Physical Therapy Inc Physical Therapist PastSince Dec 7, 2006 Accepting new patients

Locations

2020 Central Ave
Dodge City, KS 67801
Phone (620) 227-1371

2200 Summerlon Cir
Ste D
Dodge City, KS 67801
Phone (620) 225-4139

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1131580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358985600000",
    "number": "1699756254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2020 CENTRAL AVENUE",
            "city": "DODGE CITY",
            "state": "KS",
            "postal_code": "678011000",
            "telephone_number": "620-227-1371",
            "fax_number": "620-227-1208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 CENTRAL AVENUE",
            "city": "DODGE CITY",
            "state": "KS",
            "postal_code": "678011000",
            "telephone_number": "620-227-1371",
            "fax_number": "620-227-1208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEBBELING",
        "first_name": "DIRK",
        "middle_name": "HANS",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-10",
        "last_updated": "2013-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KS",
            "license": "2737",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100351040A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dodge City, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2013; 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.