Individual provider Active NPI

Elizabeth Klinginsmith, PT, DPT

  • Physical Therapist
  • Kearney, NE
National Provider Identifier
1295219921
Registry record updated Feb 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
3854 Issued in NE
Practice address
620 E 25TH St Ste 7
Kearney, NE 68847-5529
Phone
(308) 455-1781
Fax
(308) 455-1782
NPI assigned
Sep 19, 2018
Last updated
Feb 8, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 8, 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 3854 NE Primary

Addresses

Primary practice location

620 E 25TH St Ste 7
Kearney, NE 68847-5529

Mailing address

620 E 25TH St Ste 7
Kearney, NE 68847-5529
Phone (308) 455-1781

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181101000892 NE Practitioner - Physical Therapist in Private Practice 7416200886 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3854NEMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Family Physical Therapy & Sports Center CurrentSince Sep 19, 2018 Accepting new patients
Family Physical Therapy & Sports Center Physical Therapist CurrentSince Sep 19, 2018 Accepting new patients
Family Physical Therapy & Sports Center Physical Therapist Past Accepting new patients

Locations

211 W 33rd St
Ste A
Kearney, NE 68845
Phone (308) 236-5884

3500 Central Ave
Ste C1
Kearney, NE 68847
Phone (308) 865-9200

3500 Central Ave
Ste D
Kearney, NE 68847
Phone (308) 865-9200

620 E 25th St
Ste 7
Kearney, NE 68847
Phone (308) 455-1781

110 W 5th St
Lexington, NE 68850
Phone (308) 324-3700

244 N Minden Ave
Minden, NE 68959
Phone (308) 832-1500

321 Grand Ave
Ravenna, NE 68869
Phone (308) 452-7154

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": "1537315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675814400000",
    "number": "1295219921",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 E 25TH ST STE 7",
            "city": "KEARNEY",
            "state": "NE",
            "postal_code": "688475529",
            "telephone_number": "308-455-1781",
            "fax_number": "308-455-1782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 E 25TH ST STE 7",
            "city": "KEARNEY",
            "state": "NE",
            "postal_code": "688475529",
            "telephone_number": "308-455-1781",
            "fax_number": "308-455-1782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLINGINSMITH",
        "first_name": "ELIZABETH",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-19",
        "last_updated": "2023-02-08",
        "certification_date": "2023-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NE",
            "license": "3854",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kearney, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2023; 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.