| Dr Nicholas Robert Wissink, PT, DPT, MATCS,CSCS, | |
|
9015 Arbor St Ste 155, Omaha, NE 68124-2072 | |
| (531) 213-2666 | |
| (531) 213-2386 |
| Full Name | Dr Nicholas Robert Wissink |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist In Private Practice |
| Experience | 21 Years |
| Location | 9015 Arbor St Ste 155, Omaha, Nebraska |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366420572 | NPI | - | NPPES |
| 36539 | Other | NE | BCBS |
| 10025511900 | Medicaid | NE | |
| 10025511800 | Medicaid | NE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 2398 (Nebraska) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Activate Pt Llc | 6608259015 | 2 |
| Provider Name | Activate Pt Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1689315129 PECOS PAC ID: 6608259015 Enrollment ID: O20220818000293 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Nicholas Robert Wissink, PT, DPT, MATCS,CSCS, 9015 Arbor St Ste 155, Omaha, NE 68124-2072 Ph: (531) 213-2666 | Dr Nicholas Robert Wissink, PT, DPT, MATCS,CSCS, 9015 Arbor St Ste 155, Omaha, NE 68124-2072 Ph: (531) 213-2666 |
Ms. Mary Elizabeth Neary, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 13609 California St, Omaha, NE 68154 Phone: 402-938-2030 | |
Alison Helen Larsen, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 9109 Blondo St, Omaha, NE 68134 Phone: 402-399-9993 Fax: 402-778-9739 | |
Dr. James Baxa, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 7712 N 80th Ave, Omaha, NE 68122 Phone: 402-319-7396 | |
Joseph Osovski, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5505 Grover St, Omaha, NE 68106 Phone: 402-558-0225 | |
Mrs. Kelsi Blair Lemon, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 11623 Arbor St, Omaha, NE 68144 Phone: 800-334-1919 | |
Allison Chae Jochimsen, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 17500 Burke St, Omaha, NE 68118 Phone: 402-401-3900 | |
Hailey Christine Comer, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2500 California Plz, Omaha, NE 68178 Phone: 402-280-2700 |