Active NPI
Paula Wachholtz
- Physical Therapist
- Papillion, NE
National Provider Identifier
1982073417
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 823
- Practice address
- 420 S Washington St
Papillion, NE 68046-2667 - Phone
- (402) 537-6222
- NPI assigned
- Sep 15, 2015
- Sex
- Female
- Sole proprietor
- Yes
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 | 823 | NE | Primary |
Addresses
Primary practice location
420 S Washington St
Papillion, NE 68046-2667
Mailing address
420 S Washington St
Papillion, NE 68046-2667
Phone (402) 537-6222
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)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1442275200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1442275200000",
"number": "1982073417",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "420 S WASHINGTON ST",
"city": "PAPILLION",
"state": "NE",
"postal_code": "680462667",
"telephone_number": "402-537-6222"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "420 S WASHINGTON ST",
"city": "PAPILLION",
"state": "NE",
"postal_code": "680462667",
"telephone_number": "402-537-6222"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WACHHOLTZ",
"first_name": "PAULA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-09-15",
"last_updated": "2015-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NE",
"license": "823",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Papillion, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.