Individual provider Active NPI

Jami Lynn Wilson, DPT

  • Physical Therapist
  • Lincoln, NE
National Provider Identifier
1770845182
Registry record updated Jul 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
3115 Issued in NE
Practice address
3900 Yankee Hill Rd Ste 125
Lincoln, NE 68516-7742
Phone
(402) 413-0266
Fax
(402) 925-0020
NPI assigned
Jun 12, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2024

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
Physical Therapist 225100000X 3115 NE Primary

Addresses

Primary practice location

3900 Yankee Hill Rd Ste 125
Lincoln, NE 68516-7742

Mailing address

3900 Yankee Hill Rd Ste 125
Lincoln, NE 68516-7742
Phone (402) 413-0266

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3115NEMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Nebraska City Physical Therapy, LLC Physical Therapist CurrentSince Sep 1, 2022 Accepting new patients
Sujwpt Current Accepting new patients

Locations

3900 Yankee Hill Rd
Ste 125
Lincoln, NE 68516
Phone (402) 413-0266

3818 Normal Blvd
Lincoln, NE 68506
Phone (402) 488-4282

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": "1339459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719878400000",
    "number": "1770845182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3900 YANKEE HILL RD STE 125",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685167742",
            "telephone_number": "402-413-0266",
            "fax_number": "402-925-0020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3900 YANKEE HILL RD STE 125",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685167742",
            "telephone_number": "402-413-0266",
            "fax_number": "402-925-0020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "JAMI",
        "middle_name": "LYNN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-12",
        "last_updated": "2024-07-02",
        "certification_date": "2024-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NE",
            "license": "3115",
            "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 Jul 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.