Active NPI
Duane E Wade, DPT, ATC
- Physical Therapist
- Lincoln, NE
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1547
- Practice address
- 5633 S 16TH St Ste 600
Lincoln, NE 68512 - Phone
- (402) 817-1750
- Fax
- (402) 408-3555
- NPI assigned
- Aug 29, 2006
- Last updated
- Nov 5, 2018
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1547 | NE | Primary |
Addresses
Primary practice location
5633 S 16TH St Ste 600
Lincoln, NE 68512
Mailing address
600 Oakmont LN Ste 600C
Westmont, IL 60559-5548
Phone (630) 575-1980
Other practice location 1
5000 N 26th St
Ste 400
Lincoln, NE 68521-4749
Phone (402) 742-8410
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NE
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Creighton University School of Medicine, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5633 S 16TH St
Suite 600
Lincoln, NE 68512-1424
Phone (402) 817-1750
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.32 of 100
- Quality
- 84.44
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 70.78
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1547 | NE | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Athletico LTD | Physical Therapist | Current | Accepting new patients |
| Athletico LTD | Physical Therapist | Current | Accepting new patients |
Locations
1303 S 204th St
Elkhorn, NE 68022
Phone (402) 933-9111
603 N Diers Ave
Ste 1
Grand Island, NE 68803
Phone (308) 389-4418
5633 S 16th St
Ste 600
Lincoln, NE 68512
Phone (402) 817-1750
1226 N Washington St
Ste 1
Papillion, NE 68046
Phone (402) 593-1734
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Athletico Physical Therapy
- Clinic/Center
- Lincoln, NE
- NPI 1912670753
Physical Therapist
-
dba Athletico Physical Therapy
- Clinic/Center
- Lafayette, IN
- NPI 1053044867
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156809600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1541376000000",
"number": "1699883561",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "600 OAKMONT LN STE 600C",
"city": "WESTMONT",
"state": "IL",
"postal_code": "605595548",
"telephone_number": "630-575-1980",
"fax_number": "630-928-5080"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5633 S 16TH ST STE 600",
"city": "LINCOLN",
"state": "NE",
"postal_code": "68512",
"telephone_number": "402-817-1750",
"fax_number": "402-408-3555"
}
],
"practiceLocations": [
{
"address_1": "5000 N 26th St",
"address_2": "Ste 400",
"address_purpose": "LOCATION",
"city": "Lincoln",
"state": "NE",
"postal_code": "685214749",
"country_code": "US",
"telephone_number": "402-742-8410",
"fax_number": "402-742-8411",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WADE",
"first_name": "DUANE",
"middle_name": "E",
"credential": "DPT, ATC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-29",
"last_updated": "2018-11-05",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NE",
"license": "1547",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lincoln, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2018; 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.