Individual provider Active NPI

Krista Leigh Cullen, DPT

  • Physical Therapist
  • Lincoln, NE
National Provider Identifier
1285915587
Registry record updated Dec 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
3188 Issued in NE
Practice address
2845 S 70TH St Ste 1
Lincoln, NE 68506-6821
Phone
(402) 489-1999
Fax
(402) 489-4153
NPI assigned
Aug 31, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2022

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 3188 NE Primary

Addresses

Primary practice location

2845 S 70TH St Ste 1
Lincoln, NE 68506-6821

Mailing address

2845 S 70TH St Ste 1
Lincoln, NE 68506-6821
Phone (402) 489-1999

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130424000425 NE Practitioner - Physical Therapist in Private Practice 4082880794 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
3188NEMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Team Physical Therapy, P.C. CurrentSince Apr 1, 2013 Accepting new patients
Snyder Physical Therapy LLC Physical Therapist CurrentSince Aug 10, 2022 Accepting new patients
Team Physical Therapy, P.C. Physical Therapist CurrentSince Apr 1, 2013 Accepting new patients
New West Orthopaedic & Sports Rehabilitation LLC PastSince Dec 13, 2022 Accepting new patients

Locations

325 S 1st Ave
Broken Bow, NE 68822
Phone (308) 872-5111

2810 W 35th St
Ste 2
Kearney, NE 68845
Phone (308) 237-7388

3811 Central Ave
Ste F
Kearney, NE 68847
Phone (308) 237-0591

2845 S 70th St
Ste 1
Lincoln, NE 68506
Phone (402) 489-1999

2845 S 70th St
Lincoln, NE 68506
Phone (402) 489-1999

Organizations & group practices 4

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": "1314748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670284800000",
    "number": "1285915587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2845 S 70TH ST STE 1",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685066821",
            "telephone_number": "402-489-1999",
            "fax_number": "402-489-4153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2845 S 70TH ST STE 1",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685066821",
            "telephone_number": "402-489-1999",
            "fax_number": "402-489-4153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CULLEN",
        "first_name": "KRISTA",
        "middle_name": "LEIGH",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-31",
        "last_updated": "2022-12-06",
        "certification_date": "2022-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NE",
            "license": "3188",
            "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 Dec 6, 2022; 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.