Individual provider Active NPI

William K Weed, MPT

  • Physical Therapist
  • Kearney, NE
National Provider Identifier
1801829924
Registry record updated Oct 31, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1930 Issued in NE
Practice address
2810 W 35TH St
Ste 2
Kearney, NE 68845-2909
Phone
(308) 237-7388
Fax
(308) 237-7394
NPI assigned
Jul 9, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2014

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 1930 NE Primary

Addresses

Primary practice location

2810 W 35TH St
Ste 2
Kearney, NE 68845-2909

Mailing address

2810 W 35TH St
Ste 2
Kearney, NE 68845-2909
Phone (308) 237-7388

Other identifiers 2

IdentifierTypeStateIssuer
06565OtherNEBCBS
10025058400MedicaidNE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040406000713 NE Practitioner - Physical Therapist in Private Practice 3678565827 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
New West Orthopaedic and Sports Rehabilitation LLCGroup PAC ID 8224020458, 14 clinicians

Practice addresses (Care Compare)

2810 W 35TH St
Suite 2
Kearney, NE 68845-2909
Phone (308) 237-7388

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1930NEMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
New West Orthopaedic & Sports Rehabilitation LLC CurrentSince Jan 1, 2004 Accepting new patients
Good Samaritan Outreach Services Past Accepting new patients
New West Sports Medicine & Orthopaedic Surgery, P.C. Past Accepting new patients

Locations

2810 W 35th St
Ste 2
Kearney, NE 68845
Phone (308) 237-7388

2845 S 70th St
Lincoln, NE 68506
Phone (402) 489-0077

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": "1152403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1414713600000",
    "number": "1801829924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2810 W 35TH ST",
            "address_2": "STE 2",
            "city": "KEARNEY",
            "state": "NE",
            "postal_code": "688452909",
            "telephone_number": "308-237-7388",
            "fax_number": "308-237-7394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2810 W 35TH ST",
            "address_2": "STE 2",
            "city": "KEARNEY",
            "state": "NE",
            "postal_code": "688452909",
            "telephone_number": "308-237-7388",
            "fax_number": "308-237-7394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEED",
        "first_name": "WILLIAM",
        "middle_name": "K",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-09",
        "last_updated": "2014-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NE",
            "license": "1930",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "06565",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10025058400",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kearney, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2014; 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.