Individual provider Active NPI

Jolene M Griess, DPT

  • Physical Therapist
  • Sutton, NE
National Provider Identifier
1245305317
Registry record updated Jul 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2255 Issued in NE
Practice address
117 S. Saunders Ave.
Sutton, NE 68979
Phone
(402) 773-0270
Fax
(402) 773-0272
NPI assigned
Nov 22, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 3, 2013

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 2255 NE Primary

Addresses

Primary practice location

117 S. Saunders Ave.
Sutton, NE 68979

Mailing address

117 S. Saunders Ave.
Sutton, NE 68979
Phone (402) 773-0270

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060125000153 NE Practitioner - Physical Therapist in Private Practice 3870498488 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Clay County Physical Therapy PCGroup PAC ID 1254414394, 2 clinicians

Practice addresses (Care Compare)

117 S Saunders Ave
PO Box 465
Sutton, NE 68979-2051
Phone (402) 773-0270

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Clay County Physical Therapy PC Physical Therapist CurrentSince Jan 1, 2008 Accepting new patients
Hastings Physical Therapy PastSince Jan 2, 2008 Accepting new patients

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": "1164153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1372809600000",
    "number": "1245305317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 S. SAUNDERS AVE.",
            "city": "SUTTON",
            "state": "NE",
            "postal_code": "68979",
            "telephone_number": "402-773-0270",
            "fax_number": "402-773-0272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 S. SAUNDERS AVE.",
            "city": "SUTTON",
            "state": "NE",
            "postal_code": "68979",
            "telephone_number": "402-773-0270",
            "fax_number": "402-773-0272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIESS",
        "first_name": "JOLENE",
        "middle_name": "M",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-22",
        "last_updated": "2013-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NE",
            "license": "2255",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sutton, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2013; 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.