Individual provider Active NPI

Jessica E Woodward, PT, DPT

  • Physical Therapist
  • Lincoln, NE
National Provider Identifier
1952733008
Registry record updated Oct 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
3252 Issued in NE
Practice address
1230 Aries Dr Ste D
Lincoln, NE 68512-9615
Phone
(402) 434-5895
Fax
(402) 434-5899
NPI assigned
Jul 31, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 3252 NE Primary

Addresses

Primary practice location

1230 Aries Dr Ste D
Lincoln, NE 68512-9615

Mailing address

PO Box 5285
Grand Island, NE 68802-5285
Phone (308) 382-0344

Other practice location 1

1601 N 86th St Ste 300
Lincoln, NE 68505-3715
Phone (402) 327-7515

Other identifiers 1

IdentifierTypeStateIssuer
10025493600MedicaidNE

Other names 1

  • Jessica E Hueftle Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140409000719 NE Practitioner - Physical Therapist in Private Practice 4587896345 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Go Physical Therapy LLCGroup PAC ID 0749258994, 98 clinicians

Practice addresses (Care Compare)

2510 S 40TH St
Suite 200
Lincoln, NE 68506-2411
Phone (402) 486-3333

Merit-based Incentive Payment System (MIPS)

Final score
86.04 of 100Reported as individual
Quality
83.58
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
The Physician Network CurrentSince May 15, 2017 Accepting new patients
Go Physical Therapy, LLC Physical Therapist CurrentSince May 15, 2017 Accepting new patients
Allergy, Asthma & Immunology Associates P.C. Past Accepting new patients

Locations

620 N Diers Ave
Ste 300
Grand Island, NE 68803
Phone (308) 382-0344

4055 Yankee Hill Rd
Ste 102
Lincoln, NE 68516
Phone (402) 434-5895

4001 O St
Lincoln, NE 68510
Phone (402) 817-0834

4055 Yankee Hill Rd
Lincoln, NE 68516
Phone (402) 328-6300

1230 Aries Dr
Ste D
Lincoln, NE 68512
Phone (402) 434-5895

4740 N 27th St
Ste 2
Lincoln, NE 68521
Phone (402) 742-8410

1601 N 86th St
Ste 300
Lincoln, NE 68505
Phone (402) 327-7515

4701 Champlain Dr
Ste 500
Lincoln, NE 68521
Phone (402) 413-2127

755 Fallbrook Blvd
Ste 200
Lincoln, NE 68521
Phone (402) 240-0020

2510 S 40th St
Ste 200
Lincoln, NE 68506
Phone (402) 486-3333

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1375228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571184000000",
    "number": "1952733008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5285",
            "city": "GRAND ISLAND",
            "state": "NE",
            "postal_code": "688025285",
            "telephone_number": "308-382-0344",
            "fax_number": "308-382-3241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1230 ARIES DR STE D",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685129615",
            "telephone_number": "402-434-5895",
            "fax_number": "402-434-5899"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1601 N 86th St Ste 300",
            "address_purpose": "LOCATION",
            "city": "Lincoln",
            "state": "NE",
            "postal_code": "685053715",
            "country_code": "US",
            "telephone_number": "402-327-7515",
            "fax_number": "402-327-7513",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WOODWARD",
        "first_name": "JESSICA",
        "middle_name": "E",
        "name_prefix": "Ms.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-31",
        "last_updated": "2019-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NE",
            "license": "3252",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10025493600",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "HUEFTLE",
            "middle_name": "E",
            "credential": "PT, DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lincoln, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 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.