MR. CHAD LORAN KUDLACEK (OTR L, CHT) – Occupational Therapist, NPI 1164439105

MR. CHAD LORAN KUDLACEK (OTR L, CHT) is a healthcare provider. based in Hastings, Nebraska. specializing in OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials OTR L, CHT. They hold a License No. 946 (NE). The NPI Number for MR. CHAD LORAN KUDLACEK (OTR L, CHT) is 1164439105

Main info

Male
25 Years Of Experience
Accepts Medicare Assignment
Name
MR. CHAD LORAN KUDLACEK (OTR L, CHT)
NPI
1164439105
Phone
(402) 462-8824
Address
207 S BURLINGTON AVE
Enumeration Date
2 August 2006
Last Update Date
16 June 2010

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4024628824
Graduation Year
2001 (25 years ago)
PAC ID
0840321006
Group Practice PAC ID
5890760086
Professional Enrollment ID
I20100701000660
Address ID
NE689015905HA207XXAVEX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

230 OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE in NE

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Provider Addresses for MR. CHAD LORAN KUDLACEK (OTR L, CHT)

  • 207, South Burlington Avenue, Bonnavilla and Eastgate Mobile Home Park, Hastings, Adams County, Nebraska, 68901, United States

    HASTINGS, NE 689015905

    Phone: (402) 462-8824

    Fax: (402) 462-8017

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2010-07-01

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20100701000660IOccupational Therapist In Private PracticeNETBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97140Therapy procedure using manual technique, each 15 minutes34527$0
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes26323$0
97035Application of ultrasound, each 15 minutes14924$0
G0283Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care11819$0
97018Application of hot wax bath10011$0
View full utilization report →

Insurance plans in this area (ZIP 68901)

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Provider's Procedures

MR. CHAD LORAN KUDLACEK (OTR L, CHT) performs procedures in OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
OCCUPATIONAL THERAPYNE97110Therapeutic exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes25822

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5890760086View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeNE
Physical Therapist In Private PracticeNE
Physical Therapist In Private PracticeNE
Physical Therapist In Private PracticeNE
Physical Therapist In Private PracticeNE
Physical Therapist In Private PracticeNE
Physical Therapist In Private PracticeKS

Reviews

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Frequently asked questions

Where can patients find MR. CHAD LORAN KUDLACEK (OTR L, CHT)'s NPI?
You can confirm MR. CHAD LORAN KUDLACEK (OTR L, CHT) with NPI 1164439105; it appears in the national provider directory.
Does this profile mean MR. CHAD LORAN KUDLACEK (OTR L, CHT) is currently active?
Yes — MR. CHAD LORAN KUDLACEK (OTR L, CHT) appears active in the national provider directory.
What field does MR. CHAD LORAN KUDLACEK (OTR L, CHT) work in?
You can think of MR. CHAD LORAN KUDLACEK (OTR L, CHT) as practicing within Occupational Therapist. Clinical services aligned with this taxonomy classification.
Where is MR. CHAD LORAN KUDLACEK (OTR L, CHT)'s primary listing?
We display Hastings, Nebraska because that is what the record indicates for MR. CHAD LORAN KUDLACEK (OTR L, CHT).
What if Hastings, Nebraska seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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