Individual provider Active NPI

Tee Jay Grooters, DPT

  • Physical Therapist
  • Omaha, NE
National Provider Identifier
1336868868
Registry record updated Aug 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
11901 Pacific St
Omaha, NE 68154-3421
Phone
(402) 401-6151
NPI assigned
Aug 26, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 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 Primary

Addresses

Primary practice location

11901 Pacific St
Omaha, NE 68154-3421

Mailing address

790 Remington Blvd
Bolingbrook, IL 60440-4909
Phone (866) 370-8206

Other practice location 1

119 N 51st St Ste 101
Omaha, NE 68132-2867
Phone (402) 506-5695

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221101000197 NE Practitioner - Physical Therapist in Private Practice 9234506429 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Makovicka Harms Group PCGroup PAC ID 0143374124, 48 clinicians

Practice addresses (Care Compare)

11901 Pacific St
Suite 2
Omaha, NE 68154-3421
Phone (402) 401-6151

Merit-based Incentive Payment System (MIPS)

Final score
32.9 of 100Reported as group
Quality
0
Improvement activities
40
Cost
59.68

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Community Rehab LLC Physical Therapist CurrentSince Feb 20, 2025 Accepting new patients
Makovicka Harms Group PC Physical Therapist CurrentSince Aug 25, 2022 Accepting new patients
Makovicka Sylliaasen PC Physical Therapist PastSince Jan 6, 2010 Accepting new patients
Makovicka Harms Group, PC Physical Therapist Past Accepting new patients

Locations

790 Remington Blvd
Bolingbrook, IL 60440

555 Cornhusker Rd
Ste 207
Bellevue, NE 68005
Phone (402) 614-4300

410 E 22nd St
Fremont, NE 68025
Phone (402) 721-3908

20024 Glenmore Dr
Ste 101
Gretna, NE 68028
Phone (402) 332-3773

2436 N 48th St
Ste 101
Lincoln, NE 68504
Phone (402) 325-6341

333 S 70th St
Ste 102
Lincoln, NE 68510
Phone (531) 500-4160

7030 Helen Witt Dr
Ste A
Lincoln, NE 68512
Phone (402) 420-4545

6909 S 157th St
Ste E
Omaha, NE 68136
Phone (402) 933-5448

11901 Pacific St
Ste 2
Omaha, NE 68154
Phone (402) 401-6151

11901 Pacific St
Omaha, NE 68154
Phone (402) 401-6151

3830 N 167th Ct
Ste 102
Omaha, NE 68116
Phone (402) 502-2290

4235 N 90th St
Omaha, NE 68134
Phone (402) 934-0045

6307 Center St
Ste 105
Omaha, NE 68106
Phone (402) 884-7453

119 N 51st St
Ste 101
Omaha, NE 68132
Phone (402) 506-5695

1021 S 178th St
Ste 101
Omaha, NE 68118
Phone (402) 256-5856

11476 S 72nd St
Ste 102
Papillion, NE 68046
Phone (402) 964-2045

8419 S 73rd Plz
Ste 104
Papillion, NE 68046
Phone (402) 991-2745

16385 Westside Dr
Ste 1
Plattsmouth, NE 68048
Phone (402) 870-4521

559 W 15th St
Wahoo, NE 68066
Phone (402) 420-4545

13851 Guildford St
Waverly, NE 68462
Phone (402) 786-0476

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": "1661472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691452800000",
    "number": "1336868868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 REMINGTON BLVD",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604404909",
            "telephone_number": "866-370-8206",
            "fax_number": "517-435-3670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11901 PACIFIC ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681543421",
            "telephone_number": "402-401-6151"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "119 N 51st St Ste 101",
            "address_purpose": "LOCATION",
            "city": "Omaha",
            "state": "NE",
            "postal_code": "681322867",
            "country_code": "US",
            "telephone_number": "402-506-5695",
            "fax_number": "402-506-6758",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GROOTERS",
        "first_name": "TEE JAY",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-08-26",
        "last_updated": "2023-08-08",
        "certification_date": "2023-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "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 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.
  • 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.