NPIMap

Organization Active NPI

Witte Physical Therapy

  • Physical Therapy Clinic/Center
  • Louisville, NE
National Provider Identifier
1902298730
Registry record updated Feb 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
2866 Issued in NE
Legal business name
WITTE PHYSICAL THERAPY
Practice address
1268 E Henry Street. Suite 1
Louisville, NE 68048
Phone
(402) 234-3333
Fax
(844) 272-6479
NPI assigned
Mar 3, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2019

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

Authorized official

Name
Daniel Witte, PTNPI 1497076756
Title
Owner, Physical Therapist
Phone
(402) 618-7587

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 2866 NE Primary

Addresses

Primary practice location

1268 E Henry Street. Suite 1
Louisville, NE 68048

Mailing address

804 Southridge Dr
Louisville, NE 68037-7058
Phone (402) 618-7587

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150903000280 NE Part B Supplier - Physical/Occupational Therapy Group in Private Practice 2365758588 Receives reassigned benefits from 12 practitioners
Practice locations: Hooper, NE; Louisville, NE; Plattsmouth, NE

National Provider Directory

National Provider Directory

Locations

1268 E Henry St
Ste 1
Louisville, NE 68037
Phone (402) 233-4333

1276 Sand Hill Rd
Ste 2
Louisville, NE 68037
Phone (402) 234-3333

16304 Westside Dr
#4
Plattsmouth, NE 68048

16304 Westside Dr
Ste 400
Plattsmouth, NE 68048
Phone (402) 298-4747

Practitioners & affiliated clinicians

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1425340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1549843200000",
    "number": "1902298730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "804 SOUTHRIDGE DR",
            "city": "LOUISVILLE",
            "state": "NE",
            "postal_code": "680377058",
            "telephone_number": "402-618-7587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1268 E HENRY STREET. SUITE 1",
            "city": "LOUISVILLE",
            "state": "NE",
            "postal_code": "68048",
            "telephone_number": "402-234-3333",
            "fax_number": "844-272-6479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WITTE PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-03",
        "last_updated": "2019-02-11",
        "status": "A",
        "authorized_official_last_name": "WITTE",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "OWNER, PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "402-618-7587",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NE",
            "license": "2866",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.