Individual provider Active NPI

Kevin D Line, PT

  • Physical Therapist
  • Lincoln, NE
National Provider Identifier
1245849215
Registry record updated Nov 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
4690 Issued in NE
Practice address
575 Fallbrook Blvd Ste 104
Lincoln, NE 68521-9040
Phone
(531) 365-0815
NPI assigned
Jul 27, 2020
Last updated
Nov 5, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2025

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 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

Enrollment IDStateProvider typePAC IDDetails
I20240828004291 NE Practitioner - Physical Therapist in Private Practice 3072052596 Reassigns benefits to 2 organizations

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
Columbus Physical Therapy PCGroup PAC ID 3274589338, 7 clinicians

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

OrganizationSpecialtyStatusNew patients
Columbus Physical Therapy, P.C. Physical Therapist CurrentSince Jul 24, 2024 Accepting new patients
Lincoln Orthopedic Physical Therapy PC Physical Therapist CurrentSince Oct 1, 2025 Accepting new patients
Lincoln Orthopedic Physical Therapy PC Physical Therapist CurrentSince Oct 1, 2025 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.

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.

Verify at the official NPI Registry.