Individual provider Active NPI

Hannah Tiwald, PT, DPT

  • Physical Therapist
  • Omaha, NE
National Provider Identifier
1265913214
Registry record updated Jul 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
3886 Issued in NE
Practice address
2806 S 110TH CT
Omaha, NE 68144-4814
Phone
(402) 502-8374
Fax
(402) 819-0916
NPI assigned
Aug 28, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2023

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 3886 NE Primary

Addresses

Primary practice location

2806 S 110TH CT
Omaha, NE 68144-4814

Mailing address

2806 S 110TH CT
Omaha, NE 68144-4814
Phone (402) 502-8374

Other names 1

  • Hannah Grazda Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180907000802 NE Practitioner - Physical Therapist in Private Practice 0244580546 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Texas Tech University Health Science Center School of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Pelvic PhysioGroup PAC ID 1658803895, 8 clinicians

Practice addresses (Care Compare)

2806 S 110TH CT
Omaha, NE 68144-4814
Phone (402) 502-8374

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
The Pelvic Physio Physical Therapist CurrentSince Apr 1, 2025 Accepting new patients

Locations

2806 S 110th Ct
Omaha, NE 68144
Phone (402) 502-8374

Organizations & group practices 1

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": "1535414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690243200000",
    "number": "1265913214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2806 S 110TH CT",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681444814",
            "telephone_number": "402-502-8374",
            "fax_number": "402-819-0916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2806 S 110TH CT",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681444814",
            "telephone_number": "402-502-8374",
            "fax_number": "402-819-0916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIWALD",
        "first_name": "HANNAH",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-28",
        "last_updated": "2023-07-25",
        "certification_date": "2023-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NE",
            "license": "3886",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HANNAH",
            "last_name": "GRAZDA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Omaha, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2023; 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.