Active NPI
Kevin D Line, PT
- Physical Therapist
- Lincoln, NE
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 4690
- Practice address
- 575 Fallbrook Blvd Ste 104
Lincoln, NE 68521-9040 - Phone
- (531) 365-0815
- NPI assigned
- Jul 27, 2020
- Last updated
- Nov 5, 2025
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 4690 | NE | Primary |
Addresses
Primary practice location
575 Fallbrook Blvd Ste 104
Lincoln, NE 68521-9040
Mailing address
1651 N 86TH St Ste 100
Lincoln, NE 68505-3719
Phone (402) 484-7117
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NE
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3211 25TH St
Columbus, NE 68601-2473
Phone (402) 564-5456
575 Fallbrook Blvd
Suite 104
Lincoln, NE 68521-9040
Phone (531) 365-0815
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Columbus Physical Therapy, P.C. | Physical Therapist | Current | Accepting new patients |
| Lincoln Orthopedic Physical Therapy PC | Physical Therapist | Current | Accepting new patients |
| Lincoln Orthopedic Physical Therapy PC | Physical Therapist | Current | Accepting new patients |
Locations
3211 25th St
Columbus, NE 68601
Phone (402) 564-5456
1651 N 86th St
Ste 100
Lincoln, NE 68505
Phone (402) 484-7117
4920 N 26th St
Ste 100
Lincoln, NE 68521
Phone (402) 434-5361
575 Fallbrook Blvd
Ste 104
Lincoln, NE 68521
Phone (531) 365-0815
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Therapist
- Columbus, NE
- NPI 1255436374
-
dba Lincoln Orthopedic Physical Therapy
- Orthopedic Physical Therapist
- Lincoln, NE
- NPI 1598719353
-
dba Lincoln Orthopedic Physical Therapy
- Durable Medical Equipment & Medical Supplies
- Lincoln, NE
- NPI 1568837482
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1595808000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1762300800000",
"number": "1245849215",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1651 N 86TH ST STE 100",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685053719",
"telephone_number": "402-484-7117",
"fax_number": "402-484-7118"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "575 FALLBROOK BLVD STE 104",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685219040",
"telephone_number": "531-365-0815"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LINE",
"first_name": "KEVIN",
"middle_name": "D",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-07-27",
"last_updated": "2025-11-05",
"certification_date": "2025-11-05",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NE",
"license": "4690",
"primary": true
}
],
"identifiers": [],
"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 Nov 5, 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.