WILDCAT LLC (NPI# 1447315858) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447315858 |
| Entity Type | Organization |
| Organization Name | WILDCAT LLC |
| Other Organization Name | STAR PHYSICAL THERAPY DBA WILDCAT SPORTS MEDICINE |
| Practice Address |
111 Main St Wayne NE 68787-1923 |
| Mailing Address |
Po Box 681478 Franklin TN 37068-1478 |
| Practice Telephone | 4023757310 |
| Practice Fax Number | 4023757572 |
| Mailing Telephone | 6155916590 |
| Mailing Fax Number | 6155916601 |
| Enumeration Date | 2006-12-26 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | REGG SWANSON (PARTNER) |
| Authorized Official Telephone | 6155916590 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251S0007X |
Physical Therapist Specialization: Sports |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Other Name | Type Code |
|---|---|
| STAR Physical Therapy dba Wildcat sports medicine | Former Legal Business Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | Wildcat LLC | 14612 Featherstone Rd, Woodbridge, Virginia 22191 |
| Washington State Corporations | WILDCAT LLC | 1300 114th Ave Se Ste 252, Bellevue, WA 98004-6943 |
| Street Address |
111 MAIN ST |
| City | WAYNE |
| State | NE |
| Zip Code | 68787-1923 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679004428 | Katie Kroenke | Student in an Organized Health Care Education/Training Program | 111 Main St, Wayne, NE 68787-1923 | 2017-03-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396209623 | Pearl Street Counseling, LLC | Counselor | 421 N Pearl Street, Wayne, NE 68787 | 2019-01-31 |
| 1760883367 | Northeast Nebraska Public Health Department | Public Health or Welfare | 215 Pearl Street, Wayne, NE 68787 | 2014-09-15 |
| 1942419353 | Muffin Elaine Morris | Specialist/Technologist | 11 11 Main Street, Wayne State College, Wayne, NE 68787 | 2007-05-22 |
| 1801952601 | Craig W Braun | Dentist | 206 E 7th St, Wayne, NE 68787 | 2006-12-28 |
| 1124120464 | Robert Kevin Krugman | Chiropractor | 214 Pearl Street, Wayne, NE 68787 | 2006-09-05 |
| 1659722908 | Michele Albers | Physical Therapist | 1200 Providence Road, Wayne, NE 68787 | 2016-06-28 |
| 1730599762 | Angela Mclaughlin | Family Medicine | 615 E 14th St, Wayne, NE 68787 | 2014-04-29 |
| 1083977474 | Amy Joan Bowers | Physical Therapist | 1200 Providence Rd, Wayne, NE 68787 | 2012-06-20 |
| 1205195831 | Michelle Theis | Occupational Therapist | 1200 Providence Rd, Wayne, NE 68787 | 2012-05-16 |
| 1649568775 | Grace Counseling Services | Community/Behavioral Health | 111 Main Street, Wayne, NE 68787 | 2011-07-11 |
| Find all providers in zip 68787 | ||||
| Taxonomy Code | 2251S0007X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Sports |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811419864 | Elite Pt LLC | Physical Therapist | 707 W Lancaster Ave, Wayne, PA 19087-2546 | 2017-07-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841256393 | Jerry E Weber | Physical Therapist | Univerisity of Nebraska Athletic Medicine Center, Osborne Athletic Complex, Lincoln, NE 68588-0128 | 2006-04-25 |
| 1346249398 | Gerald E Jacobi | Physical Therapist | 10920 W Dodge Rd, Omaha, NE 68154-2612 | 2005-07-20 |
| 1528667540 | Zoe Otteman | Physical Therapist | 913 Village Sq, Gretna, NE 68028-7853 | 2020-10-21 |
| 1427661495 | Blake David Jeffres | Physical Therapist | 2728 N 108th St Ste 103, Omaha, NE 68164-3763 | 2020-08-28 |
| 1811137359 | Dustin Allen Huinker | Physical Therapist | 1908 N 203rd St, Suite #3, Elkhorn, NE 68022-2889 | 2009-02-24 |
| 1003969619 | Mark T Rathjen | Physical Therapist | 17660 Wright Street, Suites 9/10, Omaha, NE 68130 | 2007-01-18 |
| 1184678963 | Total Rehab PC | Physical Therapist | 12425 N 96th St, Omaha, NE 68122-2033 | 2006-05-19 |
Please comment or provide details below to improve the information on WILDCAT LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.