Individual provider Active NPI

Melinda Sue Kroenke, OTR/L

  • Occupational Therapist
  • Kearney, NE
National Provider Identifier
1538368238
Registry record updated Mar 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
817 Issued in NE
Practice address
211 W 33Rd St Ste a
Kearney, NE 68845-3485
Phone
(308) 236-5884
Fax
(308) 236-9621
NPI assigned
Jul 12, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 817 NE Primary

Addresses

Primary practice location

211 W 33Rd St Ste a
Kearney, NE 68845-3485

Mailing address

211 W 33Rd St Ste a
Kearney, NE 68845-3485
Phone (308) 236-5884

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070728000306 NE Practitioner - Occupational Therapist in Private Practice 4284735622 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

211 W 33Rd St
Suite a
Kearney, NE 68845-3485
Phone (308) 236-5884

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
817NEMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Family Physical Therapy & Sports Center CurrentSince Feb 1, 2022 Accepting new patients
Family Physical Therapy & Sports Center CurrentSince Feb 1, 2022 Accepting new patients
Family Physical Therapy & Sports Center Past Accepting new patients

Locations

913 Village Sq
Gretna, NE 68028
Phone (402) 332-0102

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

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

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

3901 W Norfolk Ave
Ste P
Norfolk, NE 68701
Phone (402) 371-9026

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

105 W 2nd St
Tilden, NE 68781
Phone (402) 928-6000

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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1184198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646870400000",
    "number": "1538368238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 W 33RD ST STE A",
            "city": "KEARNEY",
            "state": "NE",
            "postal_code": "688453485",
            "telephone_number": "308-236-5884",
            "fax_number": "308-236-9621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 W 33RD ST STE A",
            "city": "KEARNEY",
            "state": "NE",
            "postal_code": "688453485",
            "telephone_number": "308-236-5884",
            "fax_number": "308-236-9621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KROENKE",
        "first_name": "MELINDA",
        "middle_name": "SUE",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-12",
        "last_updated": "2022-03-10",
        "certification_date": "2022-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NE",
            "license": "817",
            "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 Mar 10, 2022; 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.