Individual provider Active NPI

Casey Wisnieski, DPT

  • Physical Therapist
  • Schuyler, NE
National Provider Identifier
1811564370
Registry record updated Jun 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
4202 Issued in NE
Practice address
1021 N Shore Dr
Schuyler, NE 68661-6218
Phone
(402) 380-9225
NPI assigned
Jun 4, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2021

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 4202 NE Primary

Addresses

Primary practice location

1021 N Shore Dr
Schuyler, NE 68661-6218

Mailing address

1021 N Shore Dr
Schuyler, NE 68661-6218
Phone (402) 380-9225

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210726002367 NE Practitioner - Physical Therapist in Private Practice 5496158677 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

221 Ctr St
Howells, NE 68641-4140
Phone (402) 380-9225

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4202NEMDGeneral Acute Care Hospital

Practice roles

OrganizationSpecialtyStatusNew patients
Jacobsen Therapy Services LLC CurrentSince Jun 3, 2021 Accepting new patients
Local Rehab, LLC Physical Therapist CurrentSince May 3, 2026 Accepting new patients
Wolken Therapy & Wellness LLC Physical Therapist CurrentSince Jul 14, 2021 Accepting new patients
Johnson Rehabilitation and Sports Performance PastSince Jul 14, 2021 Accepting new patients

Locations

2108 Taylor Ave
Ste 1100
Norfolk, NE 68701
Phone (402) 371-7545

312 N Oakland Ave
Oakland, NE 68045
Phone (402) 380-1479

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": "1622764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622764800000",
    "number": "1811564370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1021 N SHORE DR",
            "city": "SCHUYLER",
            "state": "NE",
            "postal_code": "686616218",
            "telephone_number": "402-380-9225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1021 N SHORE DR",
            "city": "SCHUYLER",
            "state": "NE",
            "postal_code": "686616218",
            "telephone_number": "402-380-9225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WISNIESKI",
        "first_name": "CASEY",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-06-04",
        "last_updated": "2021-06-04",
        "certification_date": "2021-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NE",
            "license": "4202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Schuyler, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 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.

Verify at the official NPI Registry.