Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Nathaniel Allan Wissink, PT, DPT, MATCS

Individual provider Physical Therapist · NPI 1174904114

Dr. Nathaniel Allan Wissink, PT, DPT, MATCS is a Physical Therapist in Private Practice in Omaha, Nebraska. Graduated from Creighton University School of Medicine in 2015, 11 years ago. Practices with Activate PT LLC, a 2-clinician group and accepts Medicare assignment. Licensed in Nebraska.

Years since qualifying
11
Trained at
Creighton University School of Medicine
Licensed in
NE
In the registry since
2015
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

9015 Arbor St Ste 155
Omaha, NE 68124-2072
Phone: (402) 580-1606
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 3465 (NE)

Record details

NPI number1174904114
Entity typeIndividual (Type 1)
GenderMale
Credentials PT , DPT , MATCS
Sole proprietorNo
NPI enumeratedJune 16, 2015
Last updated in NPPESFebruary 3, 2023
Certification dateFebruary 3, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolCREIGHTON UNIVERSITY SCHOOL OF MEDICINE
Graduated 2015 (11 years in practice)
Group practice Activate Pt Llc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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