Active NPI
Robert E Wieck, PT
- Physical Therapist
- Gering, NE
National Provider Identifier
1891998928
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2839
- Practice address
- 3315 10TH St
Gering, NE 69341-1731 - Phone
- (308) 633-5361
- Fax
- (308) 633-5365
- NPI assigned
- Jun 6, 2007
- 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 | 2839 | NE | Primary |
Addresses
Primary practice location
3315 10TH St
Gering, NE 69341-1731
Mailing address
PO Box 1790
Douglas, WY 82633-1790
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2839 | NE | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Memorial Hospital of Converse County | Past | Accepting new patients | |
| Monument Physical Therapy, LLC | Physical Therapist | Past | Accepting new patients |
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.
-
- Physical Therapist
- Gering, NE
- NPI 1508190240
-
- General Practice Physician
- Douglas, WY
- NPI 1356496491
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181088000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1455580800000",
"number": "1891998928",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1790",
"city": "DOUGLAS",
"state": "WY",
"postal_code": "826331790"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3315 10TH ST",
"city": "GERING",
"state": "NE",
"postal_code": "693411731",
"telephone_number": "308-633-5361",
"fax_number": "308-633-5365"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WIECK",
"first_name": "ROBERT",
"middle_name": "E",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-06-06",
"last_updated": "2016-02-16",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NE",
"license": "2839",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gering, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.