Active NPI
Suzanne Lynn Grotelueschen, PT, DPT
- Physical Therapist
- Omaha, NE
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT60979906
- Practice address
- 13609 California St
Omaha, NE 68154-5260 - Phone
- (402) 891-1118
- NPI assigned
- Jun 19, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 22000 | MA | |
| Physical Therapist | 225100000X | 5501017215 | MI | |
| Physical Therapist | 225100000X | PT60979906 | WA | Primary |
| Physical Therapist | 225100000X | 142338 | AK |
Addresses
Primary practice location
13609 California St
Omaha, NE 68154-5260
Mailing address
2204 S 10TH St
Omaha, NE 68108-1107
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22000 | MA | MD | Physical Therapist |
| 5501017215 | MI | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Integrated Rehabilitation Group, PC | Single Specialty | Current | Accepting new patients |
| Apple Physical Therapy LLC | Physical Therapist | Current | Accepting new patients |
| Highline Physical Therapy Group | Single Specialty | Current | Accepting new patients |
| Integrated Rehabilitation Group, PC | Physical Therapist | Current | Accepting new patients |
| Highline Physical Therapy Group | Physical Therapist | Current | Accepting new patients |
| Cascade Rehabilitation Associates, PLLC | Single Specialty | Current | Accepting new patients |
| Summit Rehabilitation PLLC | Single Specialty | Current | Accepting new patients |
| Summit Rehabilitation PLLC | Physical Therapist | Current | Accepting new patients |
| Apple Physical Therapy, LLC | Single Specialty | Current | Accepting new patients |
| Cascade Rehabilitation Associates, PLLC | Physical Therapist | Current | Accepting new patients |
| Ideal Rehabilitation LLC | Past | Accepting new patients |
Locations
4947 Paysphere Cir
Chicago, IL 60674
Phone (630) 783-2001
19119 North Creek Pkwy
Ste 107
Bothell, WA 98011
Phone (425) 486-8800
16259 Sylvester Rd SW
Burien, WA 98166
Phone (206) 241-5400
10207 19th Ave SE
Everett, WA 98208
Phone (425) 337-3166
4220 Hoyt Ave
Everett, WA 98203
Phone (425) 258-5330
10511 19th Ave SE
Ste B
Everett, WA 98208
Phone (425) 357-8885
32030 23rd Ave S
Federal Way, WA 98003
Phone (253) 946-4852
403 W Stanley St
Granite Falls, WA 98252
Phone (360) 691-4835
11800 NE 128th St
Ste 400
Kirkland, WA 98034
Phone (425) 820-0869
130 Marvin Rd SE
Ste 203
Lacey, WA 98503
Phone (360) 456-3300
9514 4th St NE
Unit 101
Lake Stevens, WA 98258
Phone (425) 397-2327
4220 132nd St SE
Ste 101
Mill Creek, WA 98012
Phone (425) 316-8046
12121 Harbour Reach Dr
Ste 100
Mukilteo, WA 98275
Phone (425) 354-5110
451 SW Sedgwick Rd
Ste 310
Port Orchard, WA 98367
Phone (360) 874-8009
231 Avenue D
Snohomish, WA 98290
Phone (360) 563-1020
Organizations & group practices 11
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.
-
dba ATI Physical Therapy
- Physical Therapist
- Auburn, WA
- NPI 1902808470
Single Specialty
-
dba Cascade Rehabilitation
- Occupational Therapist
- Everett, WA
- NPI 1245361617
Single Specialty
-
dba Highline Therapy Services
- Physical Therapist
- Burien, WA
- NPI 1477797991
Single Specialty
-
- Physical Therapy Clinic/Center
- Mill Creek, WA
- NPI 1154369833
Single Specialty
-
dba Summit Rehab
- Multi-Specialty Clinic/Center
- Lake Stevens, WA
- NPI 1558492934
Single Specialty
-
dba ATI Physical Therapy
- Durable Medical Equipment & Medical Supplies
- Mountlake Terrace, WA
- NPI 1366746232
Physical Therapist
-
- Physical Therapist
- Mukilteo, WA
- NPI 1770359010
-
- Physical Therapist
- Bonney Lake, WA
- NPI 1255147336
-
dba IRG Physical & Hand Therapy - Marysville
- Physical Therapy Clinic/Center
- Marysville, WA
- NPI 1215201801
Physical Therapist
-
- Physical Therapist
- Everett, WA
- NPI 1760374771
-
- Durable Medical Equipment & Medical Supplies
- Tucson, AZ
- NPI 1831353614
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1434672000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1566432000000",
"number": "1326420837",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2204 S 10TH ST",
"city": "OMAHA",
"state": "NE",
"postal_code": "681081107"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13609 CALIFORNIA ST",
"city": "OMAHA",
"state": "NE",
"postal_code": "681545260",
"telephone_number": "402-891-1118"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GROTELUESCHEN",
"first_name": "SUZANNE",
"middle_name": "LYNN",
"credential": "PT, DPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-06-19",
"last_updated": "2019-08-22",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MA",
"license": "22000",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MI",
"license": "5501017215",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": "WA",
"license": "PT60979906",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AK",
"license": "142338",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Aug 22, 2019; 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.