Individual provider Active NPI

Brian M Dinkelman

  • Physical Therapist
  • Hastings, NE
National Provider Identifier
1396828836
Registry record updated Jan 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1738 Issued in NE
Practice address
3601 Cimarron PLZ
Suite 100
Hastings, NE 68901-2884
Phone
(402) 463-2085
Fax
(402) 463-2062
NPI assigned
Oct 20, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 22, 2016

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 1738 NE Primary

Addresses

Primary practice location

3601 Cimarron PLZ
Suite 100
Hastings, NE 68901-2884

Mailing address

PO Box 5285
Grand Island, NE 68802-5285
Phone (308) 382-0344

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050524001135 NE Practitioner - Physical Therapist in Private Practice 4385686146 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Go Physical Therapy LLCGroup PAC ID 0749258994, 98 clinicians

Practice addresses (Care Compare)

905 N Custer Ave
Grand Island, NE 68803-4304
Phone (308) 398-2170

Merit-based Incentive Payment System (MIPS)

Final score
85.76 of 100Reported as group
Quality
89.57
Improvement activities
40
Cost
71.67

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Go Physical Therapy, LLC Physical Therapist CurrentSince Jan 1, 2012 Accepting new patients
Crete Physical Therapy, LLC Physical Therapist PastSince Apr 30, 2003 Accepting new patients
Nebraska City Physical Therapy, LLC Physical Therapist PastSince Feb 15, 2011 Accepting new patients
Havelock Physical Therapy LLC Physical Therapist PastSince Dec 19, 2016 Accepting new patients
Milford Physical Therapy LLC Physical Therapist Past Accepting new patients

Locations

620 N Diers Ave
Ste 300
Grand Island, NE 68803
Phone (308) 382-0344

905 N Custer Ave
Grand Island, NE 68803
Phone (308) 398-2170

1201 S Locust St
Ste 10
Grand Island, NE 68801
Phone (308) 210-8753

3601 Cimarron Plz
Ste 100
Hastings, NE 68901
Phone (402) 463-2077

Organizations & group practices 5

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": "1161302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453420800000",
    "number": "1396828836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5285",
            "city": "GRAND ISLAND",
            "state": "NE",
            "postal_code": "688025285",
            "telephone_number": "308-382-0344",
            "fax_number": "308-382-3241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3601 CIMARRON PLZ",
            "address_2": "SUITE 100",
            "city": "HASTINGS",
            "state": "NE",
            "postal_code": "689012884",
            "telephone_number": "402-463-2085",
            "fax_number": "402-463-2062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DINKELMAN",
        "first_name": "BRIAN",
        "middle_name": "M",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-20",
        "last_updated": "2016-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NE",
            "license": "1738",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hastings, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2016; 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.