Ricky L Bussey Jr., DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2693 Issued in NE

Practice address

559 W 15TH St
Wahoo, NE 68066-1280

Phone

(402) 443-4555

Fax

(402) 443-4554

NPI assigned

Jun 29, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NE

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Creighton University School of Medicine, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Bussey Physical Therapy, LLCGroup PAC ID 2961752951, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Bussey Physical Therapy, LLC

  • Physical Therapy Clinic/Center
  • Omaha, NE
  • NPI 1831681691

  NE

  Medicare reassignment Care Compare group Authorized official
• Makovicka Harms Group PC

  • Physical Therapist
  • Omaha, NE
  • NPI 1386879559
  NPD (past)

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

{
    "created_epoch": "1183075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391558400000",
    "number": "1952508335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4731 S 153RD CT",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681375025",
            "telephone_number": "402-316-9060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "559 W 15TH ST",
            "city": "WAHOO",
            "state": "NE",
            "postal_code": "680661280",
            "telephone_number": "402-443-4555",
            "fax_number": "402-443-4554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUSSEY",
        "first_name": "RICKY",
        "middle_name": "L",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-29",
        "last_updated": "2014-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NE",
            "license": "2693",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "659",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Connie Blum
• Hailey Bohac
• Janet Booze
• Brent Geringer
• Nicholas Matthew Breunig, PHYSICAL THERAPIST
• Codi L Camp, LMHP, LPC
• Anna Cedfeldt
• Barbara Chall
• Joan Chapman
• Abigail Kay Chase, APRN

• All providers in Wahoo, NE
• Physical Therapist in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2014; 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.