Active NPI
Aaron C Wenburg, DPT
- Physical Therapist
- North Platte, NE
National Provider Identifier
1710911425
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2124
- Practice address
- 624 W Leota St
North Platte, NE 69101-6532 - Phone
- (308) 534-5590
- Fax
- (308) 534-5570
- NPI assigned
- Jul 10, 2006
- Last updated
- Jul 1, 2021
- Sex
- Male
- Sole proprietor
- No
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 | 2124 | NE | Primary |
Addresses
Primary practice location
624 W Leota St
North Platte, NE 69101-6532
Mailing address
624 W Leota St
North Platte, NE 69101-6532
Phone (308) 534-5590
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02343 | Other | NE | BLUE CROSS |
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
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
624 W Leota St
North Platte, NE 69101-6532
Phone (308) 534-5590
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2124 | NE | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sandhills Physical Therapy and Sports Rehab P.C. | Physical Therapist | Current | Accepting new patients |
| Gundersen Clinic LTD | Past | Accepting new patients |
Locations
616 W Leota St
North Platte, NE 69101
Phone (308) 252-1100
624 W Leota St
North Platte, NE 69101
Phone (308) 284-8735
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.
-
- Physical Therapist
- North Platte, NE
- NPI 1053531756
-
- Clinic/Center
- La Crosse, WI
- NPI 1851343115
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152489600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1625097600000",
"number": "1710911425",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "624 W LEOTA ST",
"city": "NORTH PLATTE",
"state": "NE",
"postal_code": "691016532",
"telephone_number": "308-534-5590",
"fax_number": "308-534-5570"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "624 W LEOTA ST",
"city": "NORTH PLATTE",
"state": "NE",
"postal_code": "691016532",
"telephone_number": "308-534-5590",
"fax_number": "308-534-5570"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WENBURG",
"first_name": "AARON",
"middle_name": "C",
"name_prefix": "Mr.",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-10",
"last_updated": "2021-07-01",
"certification_date": "2021-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NE",
"license": "2124",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "02343",
"state": "NE"
}
],
"endpoints": [],
"other_names": []
}
Other providers in North Platte, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2021; 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.