KAYLA MARIE MAMMEN (PT, DPT) – Physical Therapist, NPI 1285176636

KAYLA MARIE MAMMEN (PT, DPT) is a healthcare provider. based in Bellevue, Nebraska. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT, DPT. They hold a License No. 0014429 (CO). The NPI Number for KAYLA MARIE MAMMEN (PT, DPT) is 1285176636

Main info

Female
10 Years Of Experience
Accepts Medicare Assignment
Name
KAYLA MARIE MAMMEN (PT, DPT)
NPI
1285176636
Phone
(402) 821-7308
Address
2302 SCARBOROUGH DR
Enumeration Date
15 November 2016
Last Update Date
11 February 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4022343333
Graduation Year
2016 (10 years ago)
PAC ID
9032470752
Group Practice PAC ID
2365758588
Professional Enrollment ID
I20180221000089
Address ID
NE680377025LO1268XSTXX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:9State licenses:1Digital endpointsOther names

2,109 PHYSICAL THERAPIST IN PRIVATE PRACTICE in MN

Provider Addresses for KAYLA MARIE MAMMEN (PT, DPT)

  • Scarborough Drive, Capehart, Bellevue, Sarpy County, Nebraska, 68123, United States

    BELLEVUE, NE 681232082

    Phone: (402) 821-7308

    Type: Mailing

  • 1894 37th St SE

    Saint Cloud, MN 563049508

    Phone: (320) 227-2606

    Type: Location

  • Sand Hill Road, Louisville, Cass County, Nebraska, 68037, United States

    #2

    LOUISVILLE, NE 68037

    Phone: (402) 234-3333

    Type: Location

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: 2018-02-21

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
I20180221000089IPhysical 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
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes1,08687$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes67185$0
97140Therapy procedure using manual technique, each 15 minutes15539$0
G0283Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care10222$0
97530Therapy procedure using functional activities5920$0
View full utilization report →

Insurance plans in this area (ZIP 68123)

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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: 2365758588View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeNE
Physical Therapist In Private PracticeNE
Physical Therapist In Private PracticeNE
Occupational Therapist In Private PracticeNE
Physical Therapist In Private PracticeNE

Reviews

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Frequently asked questions

What federal number belongs to KAYLA MARIE MAMMEN (PT, DPT)?
The federal identifier for KAYLA MARIE MAMMEN (PT, DPT) is NPI 1285176636.
Is KAYLA MARIE MAMMEN (PT, DPT)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Does KAYLA MARIE MAMMEN (PT, DPT) list a primary specialty?
If you are matching referrals, note Physical Therapist for KAYLA MARIE MAMMEN (PT, DPT). Clinical services aligned with this taxonomy classification.
Does KAYLA MARIE MAMMEN (PT, DPT) practice in Nebraska?
You will see Bellevue, Nebraska on file for KAYLA MARIE MAMMEN (PT, DPT) alongside any extra practice locations.
Is KAYLA MARIE MAMMEN (PT, DPT) a real provider?
This page reflects official NPPES data for NPI 1285176636. Always confirm identity and privileges with the practice and licensing boards.

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