| Kayla Marie Mammen, PT, DPT | |
|
1276 Sand Hill Rd, #2, Louisville, NE 68037 | |
| (402) 234-3333 | |
| Not Available |
| Full Name | Kayla Marie Mammen |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist In Private Practice |
| Experience | 10 Years |
| Location | 1276 Sand Hill Rd, Louisville, Nebraska |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285176636 | NPI | - | NPPES |
| 1285176636 | Other | NE | INDIVIDUAL NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 0014429 (Colorado) | Secondary |
| 225100000X | Physical Therapist | 0014429 (Nebraska) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Witte Physical Therapy | 2365758588 | 6 |
| Provider Name | Witte Physical Therapy |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1902298730 PECOS PAC ID: 2365758588 Enrollment ID: O20150903000280 |
| Mailing Address | Practice Location Address |
|---|---|
| Kayla Marie Mammen, PT, DPT 2302 Scarborough Dr, Bellevue, NE 68123-2082 Ph: (402) 821-7308 | Kayla Marie Mammen, PT, DPT 1276 Sand Hill Rd, #2, Louisville, NE 68037 Ph: (402) 234-3333 |
Christine Marie Beune, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1268 E Henry St Ste 1, Louisville, NE 68037 Phone: 402-234-3333 | |
Natosha Siemek, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1268 E Henry Street. Suite 1, Louisville, NE 68037 Phone: 402-234-3333 | |
Daniel James Witte, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1268 E Henry Street, Suite 1, Louisville, NE 68037 Phone: 402-234-3333 Fax: 844-272-6479 | |
Kaley Draper, PTA Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 410 W 5th St, Louisville, NE 68037 Phone: 402-234-2125 | |
Jerry Joseph Bockman, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1268 E Henry St, Louisville, NE 68037 Phone: 402-234-3333 |