Active NPI
Amanda Weiner, PT
- Physical Therapist
- Omaha, NE
National Provider Identifier
1912118019
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2547
- Practice address
- 17500 Burke St
Omaha, NE 68118-2244 - Phone
- (402) 401-3915
- Fax
- (402) 401-3201
- NPI assigned
- May 24, 2007
- Sex
- Female
- 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 | 2547 | NE | Primary |
Addresses
Primary practice location
17500 Burke St
Omaha, NE 68118-2244
Mailing address
5401 South St
Lincoln, NE 68506-2150
Phone (402) 413-3900
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 |
|---|---|---|---|
| 2547 | NE | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Procare3, Inc. | Past | Accepting new patients |
Organizations & group practices 1
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.
-
dba Fyzical Therapy and Balance Centers
- Rehabilitation Practitioner
- Omaha, NE
- NPI 1942266945
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179964800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1491177600000",
"number": "1912118019",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5401 SOUTH ST",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685062150",
"telephone_number": "402-413-3900",
"fax_number": "402-413-3909"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17500 BURKE ST",
"city": "OMAHA",
"state": "NE",
"postal_code": "681182244",
"telephone_number": "402-401-3915",
"fax_number": "402-401-3201"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEINER",
"first_name": "AMANDA",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-24",
"last_updated": "2017-04-03",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NE",
"license": "2547",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Omaha, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.