Individual provider Active NPI

Josslyn Garrett Linse

  • Physical Therapist
  • Elkhorn, NE
National Provider Identifier
1124811492
Registry record updated May 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
4773 Issued in NE
Practice address
19111 Mason PLZ
Elkhorn, NE 68022-5659
Phone
(402) 658-5313
NPI assigned
May 28, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2025

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 4773 NE Primary

Addresses

Primary practice location

19111 Mason PLZ
Elkhorn, NE 68022-5659

Mailing address

4242 Cedar Creek Rd
Plattsmouth, NE 68048-3502

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE, AK2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20250701000152 NE Practitioner - Physical Therapist in Private Practice 4385157601 Reassigns benefits to 1 organization
I20260326002055 AK Practitioner - Physical Therapist in Private Practice 4385157601 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
University of Nebraska College of Medicine, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Siegmund Physical Therapy PCGroup PAC ID 1254460496, 11 clinicians
Anchorage Fracture and Orthopaedic Clinic PCGroup PAC ID 7517914187, 33 clinicians

Practice addresses (Care Compare)

19111 Mason PLZ
Elkhorn, NE 68022-5659
Phone (402) 504-9797

4100 Lake Otis Pkwy
Anchorage, AK 99508-5230
Phone (907) 563-3145

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4773NEMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Siegmund Physical Therapy, PC Physical Therapist CurrentSince Jun 6, 2025 Accepting new patients

Locations

19111 Mason Plz
Elkhorn, NE 68022
Phone (402) 504-9797

Organizations & group practices 2

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": "1748390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748390400000",
    "number": "1124811492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4242 CEDAR CREEK RD",
            "city": "PLATTSMOUTH",
            "state": "NE",
            "postal_code": "680483502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19111 MASON PLZ",
            "city": "ELKHORN",
            "state": "NE",
            "postal_code": "680225659",
            "telephone_number": "402-658-5313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LINSE",
        "first_name": "JOSSLYN",
        "middle_name": "GARRETT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-05-28",
        "last_updated": "2025-05-28",
        "certification_date": "2025-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NE",
            "license": "4773",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elkhorn, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2025; 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.