Active NPI
Dustin James Reinbold, P.T.
- Physical Therapist
- Lincoln, NE
National Provider Identifier
1154400943
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2520
- Practice address
- 5633 NW 1St St
Lincoln, NE 68521-4465 - Phone
- (402) 434-5905
- Fax
- (402) 434-5902
- NPI assigned
- Nov 3, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 03154 | IA | |
| Physical Therapist | 225100000X | 2520 | NE | Primary |
Addresses
Primary practice location
5633 NW 1St St
Lincoln, NE 68521-4465
Mailing address
5401 South St
Lincoln, NE 68506-2150
Phone (402) 434-5905
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0488759 | Medicaid | IA | |
| 38762 | Other | IA | BC/BS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2520 | NE | MD | Clinical Social Worker |
| 03154 | IA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sioux City Physical Therapy PC | Physical Therapist | Past | Accepting new patients |
| Madonna Rehabilitation Hospital | Past | Accepting new patients | |
| Madonna Rehabilitation Hospital | Past | Accepting new patients |
Organizations & group practices 3
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 Medicine & Rehabilitation Physician
- Lincoln, NE
- NPI 1417045642
-
- Rehabilitation Hospital
- Lincoln, NE
- NPI 1558458091
-
- Physical Therapist
- Sioux City, IA
- NPI 1346313996
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162512000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1245801600000",
"number": "1154400943",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5401 SOUTH ST",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685062150",
"telephone_number": "402-434-5905"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5633 NW 1ST ST",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685214465",
"telephone_number": "402-434-5905",
"fax_number": "402-434-5902"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REINBOLD",
"first_name": "DUSTIN",
"middle_name": "JAMES",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-03",
"last_updated": "2009-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IA",
"license": "03154",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NE",
"license": "2520",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0488759",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS",
"identifier": "38762",
"state": "IA"
}
],
"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 Jun 24, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.