Active NPI
Grace Lynn Souerdyke, OT
- Occupational Therapist
- Grand Island, NE
National Provider Identifier
1134049844
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 3138
- Practice address
- 905 N Custer Ave
Grand Island, NE 68803-4304 - Phone
- (308) 398-1202
- Fax
- (308) 398-5232
- NPI assigned
- Jul 21, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 3138 | NE | Primary |
Addresses
Primary practice location
905 N Custer Ave
Grand Island, NE 68803-4304
Mailing address
PO Box 5285
Grand Island, NE 68802-5285
Phone (308) 675-1853
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 2026
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
PO Box
Grand Island, NE 68802
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Go Physical Therapy, LLC | Current | Accepting new patients |
Locations
905 N Custer Ave
Grand Island, NE 68803
Phone (308) 398-2170
4001 O St
Lincoln, NE 68510
Phone (402) 817-0834
4740 N 27th St
Ste 2
Lincoln, NE 68521
Phone (402) 742-8410
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.
-
- Physical Therapist
- Grand Island, NE
- NPI 1184627911
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1784592000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784592000000",
"number": "1134049844",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5285",
"city": "GRAND ISLAND",
"state": "NE",
"postal_code": "688025285",
"telephone_number": "308-675-1853",
"fax_number": "308-210-4121"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "905 N CUSTER AVE",
"city": "GRAND ISLAND",
"state": "NE",
"postal_code": "688034304",
"telephone_number": "308-398-1202",
"fax_number": "308-398-5232"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOUERDYKE",
"first_name": "GRACE",
"middle_name": "LYNN",
"credential": "OT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-07-21",
"last_updated": "2026-07-21",
"certification_date": "2026-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NE",
"license": "3138",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Grand Island, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.