Individual provider Active NPI

Tristen Metzger, DPT

  • Physical Therapist
  • Lincoln, NE
National Provider Identifier
1538852827
Registry record updated Jun 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
4469 Issued in NE
Practice address
2130 S 17TH St Ste 200
Lincoln, NE 68502-3750
Phone
(402) 476-6575
Fax
(402) 476-6576
NPI assigned
Jun 1, 2023
Last updated
Jun 1, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 1, 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 4469 NE Primary

Addresses

Primary practice location

2130 S 17TH St Ste 200
Lincoln, NE 68502-3750

Mailing address

2130 S 17TH St Ste 200
Lincoln, NE 68502-3750
Phone (402) 476-6575

Other practice location 1

770 N Cotner Blvd Ste 125
Lincoln, NE 68505-2377
Phone (402) 464-6141

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230914001650 NE Practitioner - Physical Therapist in Private Practice 0840654471 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4469NEMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Physical Therapy Solutions PC Physical Therapist CurrentSince Jul 24, 2023 Accepting new patients
Physical Therapy Solutions, PC CurrentSince Jul 24, 2023 Accepting new patients

Locations

2130 S 17th St
Ste 200
Lincoln, NE 68502
Phone (402) 464-6141

770 N Cotner Blvd
Ste 125
Lincoln, NE 68505
Phone (402) 464-6141

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": "1685577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685577600000",
    "number": "1538852827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2130 S 17TH ST STE 200",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685023750",
            "telephone_number": "402-476-6575",
            "fax_number": "402-476-6576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2130 S 17TH ST STE 200",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685023750",
            "telephone_number": "402-476-6575",
            "fax_number": "402-476-6576"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "770 N Cotner Blvd Ste 125",
            "address_purpose": "LOCATION",
            "city": "Lincoln",
            "state": "NE",
            "postal_code": "685052377",
            "country_code": "US",
            "telephone_number": "402-464-6141",
            "fax_number": "402-464-6142",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "METZGER",
        "first_name": "TRISTEN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-01",
        "last_updated": "2023-06-01",
        "certification_date": "2023-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NE",
            "license": "4469",
            "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 Jun 1, 2023; 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.

Verify at the official NPI Registry.