Cody Wisnieski

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

3966 Issued in NE

Practice address

2108 Taylor Ave Ste 1100
Norfolk, NE 68701-4642

Phone

(402) 371-7545

NPI assigned

Jun 13, 2019

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NE

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

University of Nebraska College of Medicine, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Jacobsen Therapy Services LLCGroup PAC ID 1759381023, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Jacobsen Therapy Services LLC

  • Occupational Therapist
  • Norfolk, NE
  • NPI 1649347865
  Medicare reassignment Care Compare group NPD
• Wolken Therapy & Wellness LLC

  • Physical Therapy Clinic/Center
  • Oakland, NE
  • NPI 1760064380

  Physical Therapist

  Medicare reassignment NPD
• Johnson Rehabilitation and Sports Performance

  • Physical Therapy Clinic/Center
  • Oakland, NE
  • NPI 1053744458
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1560384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560384000000",
    "number": "1871152736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 CHAROLAIS DR",
            "city": "NORFOLK",
            "state": "NE",
            "postal_code": "687012549",
            "telephone_number": "402-380-4827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2108 TAYLOR AVE STE 1100",
            "city": "NORFOLK",
            "state": "NE",
            "postal_code": "687014642",
            "telephone_number": "402-371-7545"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "901 S 4th St",
            "address_purpose": "LOCATION",
            "city": "Battle Creek",
            "state": "NE",
            "postal_code": "687153035",
            "country_code": "US",
            "telephone_number": "402-675-2955",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WISNIESKI",
        "first_name": "CODY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-06-13",
        "last_updated": "2019-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NE",
            "license": "3966",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heather Wingate
• Orlyn H. Wingert, M.D.
• Liya Wingett
• Winning Physical Medicine and Rehab Strategies, P.C.
• Rhonda Wipping
• Ariana Wisniewski
• Jenna Lynn Witt, NP
• Victoria Wodrich
• Aline Woeppel
• Erin E Wolf, AU.D., CCC-A

• Physical Therapist in Norfolk, NE
• Providers in Norfolk, NE by specialty
• Physical Therapist in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2019; 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.