Individual provider Active NPI

Gregory S Cromer, MSPT

  • Physical Therapist
  • Lincoln, NE
National Provider Identifier
1063443000
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1416 Issued in NE
Practice address
4911 N 26TH St
Suite 100
Lincoln, NE 68521-4739
Phone
(402) 477-3110
Fax
(402) 477-4990
NPI assigned
Jul 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 1416 NE Primary

Addresses

Primary practice location

4911 N 26TH St
Suite 100
Lincoln, NE 68521-4739

Mailing address

4911 N 26TH St
Suite 100
Lincoln, NE 68521-4739
Phone (402) 477-3110

Other identifiers 1

IdentifierTypeStateIssuer
08789OtherNEBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101004000835 NE Practitioner - Physical Therapist in Private Practice 5092893479 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Husker Rehabilitation and Wellness Centers, P.C.Group PAC ID 8426049248, 11 clinicians

Practice addresses (Care Compare)

2320 N 6TH St
Beatrice, NE 68310-1214
Phone (402) 228-9292

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Husker Rehabilitation and Wellness Centers, P.C. Physical Therapist CurrentSince Aug 1, 2010 Accepting new patients

Locations

2320 N 6th St
Beatrice, NE 68310
Phone (402) 228-9292

504 E St
Fairbury, NE 68352
Phone (402) 729-2639

4911 N 26th St
Ste 100
Lincoln, NE 68521
Phone (402) 477-3110

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1063443000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4911 N 26TH ST",
            "address_2": "SUITE 100",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685214739",
            "telephone_number": "402-477-3110",
            "fax_number": "402-477-4990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4911 N 26TH ST",
            "address_2": "SUITE 100",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685214739",
            "telephone_number": "402-477-3110",
            "fax_number": "402-477-4990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROMER",
        "first_name": "GREGORY",
        "middle_name": "S",
        "credential": "MSPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NE",
            "license": "1416",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "08789",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.