Carrie Ann Wilson, D.P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2962 Issued in NE

Practice address

820 Village SQ
Gretna, NE 68028-7914

Phone

(402) 932-0747

Fax

(402) 991-5685

NPI assigned

Jan 19, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

• Creighton University

  • Clinic Pharmacy
  • Omaha, NE
  • NPI 1477547347
  NPD (past)
• 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": "1295395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1982909263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820 VILLAGE SQ",
            "city": "GRETNA",
            "state": "NE",
            "postal_code": "680287914",
            "telephone_number": "402-932-0747",
            "fax_number": "402-991-5685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 VILLAGE SQ",
            "city": "GRETNA",
            "state": "NE",
            "postal_code": "680287914",
            "telephone_number": "402-932-0747",
            "fax_number": "402-991-5685"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1100 W 41st St",
            "address_purpose": "LOCATION",
            "city": "Sioux Falls",
            "state": "SD",
            "postal_code": "571056325",
            "country_code": "US",
            "telephone_number": "605-782-2400",
            "fax_number": "605-782-2401",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILSON",
        "first_name": "CARRIE",
        "middle_name": "ANN",
        "credential": "D.P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-01-19",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SD",
            "license": "1536",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NE",
            "license": "2962",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "47065477701",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pamela Wilcox
• Ayla Wilhite, PLMHP, PCSW
• Deborah Sue Wille, LMHP
• Karen Wille
• Willows at Gretna LLC
• Diva Viteare Wilson, MD
• Jamie Ann Wredt
• Kyle Young, DPT
• Crystal Marie Zabka Belsky, RD, LMNT
• Mallory Zach

• Physical Therapist in Gretna, NE
• Providers in Gretna, NE by specialty
• Physical Therapist in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.