Stacy Grabowski, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

4094 Issued in NE

Practice address

303 Broadway St
Fullerton, NE 68638-3219

Phone

(308) 536-3244

Fax

(308) 536-3277

NPI assigned

Sep 11, 2019

Last updated

Oct 29, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NE

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: stacy.grabowski.1@16293.direct.athenahealth.com

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

• City of Genoa

  • Primary Care Clinic/Center
  • Genoa, NE
  • NPI 1104859206
  Medicare reassignment NPD
• City of Genoa

  dba Loup Valley Health Care

  • Multi-Specialty Clinic/Center
  • Fullerton, NE
  • NPI 1386157071
  NPD
• East Central Nebraska Therapy

  • Physical Therapist
  • North Bend, NE
  • NPI 1710239447
  NPD
• City of Genoa

  • Critical Access Hospital
  • Genoa, NE
  • NPI 1649228511
  NPD (past)

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

{
    "created_epoch": "1568160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635465600000",
    "number": "1215586235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "57825 716TH RD",
            "city": "JANSEN",
            "state": "NE",
            "postal_code": "683774066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 BROADWAY ST",
            "city": "FULLERTON",
            "state": "NE",
            "postal_code": "686383219",
            "telephone_number": "308-536-3244",
            "fax_number": "308-536-3277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRABOWSKI",
        "first_name": "STACY",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-11",
        "last_updated": "2021-10-29",
        "certification_date": "2021-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KS",
            "license": "11-06234",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NE",
            "license": "4094",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Fullerton Public Schools
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• Merridie R Kaup, LIMHP
• Stacy Jo Kramer, MPT
• Land Chiropractic LLC

• Physical Therapist in Fullerton, NE
• Providers in Fullerton, NE by specialty
• Physical Therapist in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.