Individual provider Active NPI

David J Drummer, P.T.

  • Physical Therapist
  • Lincoln, NE
National Provider Identifier
1356451975
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2482 Issued in NE
Practice address
5241 R St
Lincoln, NE 68504-3422
Phone
(402) 467-4545
NPI assigned
Aug 30, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 2482 NE Primary

Addresses

Primary practice location

5241 R St
Lincoln, NE 68504-3422

Mailing address

1124 N 45TH St
Lincoln, NE 68503-2224
Phone (402) 466-9095

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060831000119 NE Practitioner - Physical Therapist in Private Practice 9638173867 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hruska Clinic IncGroup PAC ID 7214905306, 5 clinicians

Practice addresses (Care Compare)

5241 R St
Lincoln, NE 68504-3422
Phone (402) 467-4545

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2482NEMDMechanotherapist

Practice roles

OrganizationSpecialtyStatusNew patients
Foot & Ankle Associates of Siouxland, P.L.C. CurrentSince Jul 6, 2006 Accepting new patients
Hruska Clinic Inc. Physical Therapist CurrentSince Jul 6, 2006 Accepting new patients

Locations

5241 R St
Lincoln, NE 68504
Phone (402) 467-4545

Organizations & group practices 2

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": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1356451975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1124 N 45TH ST",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685032224",
            "telephone_number": "402-466-9095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5241 R ST",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685043422",
            "telephone_number": "402-467-4545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRUMMER",
        "first_name": "DAVID",
        "middle_name": "J",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NE",
            "license": "2482",
            "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 Jul 8, 2007; 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.