Tess Kathleen Crotty, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

1587 Issued in NE

Practice address

1104 Grundman Blvd
Nebraska City, NE 68410-3397

Phone

(402) 873-7411

NPI assigned

Feb 23, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Nebraska City Physical Therapy, LLC

  • Physical Therapy Clinic/Center
  • Nebraska City, NE
  • NPI 1437453164
  NPD

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

{
    "created_epoch": "1582416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582416000000",
    "number": "1568096139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4905 CRESTHAVEN DR",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685161238",
            "telephone_number": "402-414-1072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1104 GRUNDMAN BLVD",
            "city": "NEBRASKA CITY",
            "state": "NE",
            "postal_code": "684103397",
            "telephone_number": "402-873-7411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROTTY",
        "first_name": "TESS",
        "middle_name": "KATHLEEN",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-23",
        "last_updated": "2020-02-23",
        "certification_date": "2020-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NE",
            "license": "1587",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Conrad
• Stephanie Nicole Consbruck
• Phillip Shelton Cooper
• County of Otoe School District 111
• Kayla Renae Crisler, OT
• Jeffrey Lynn Cumro, D.C.
• Beatriz Davis
• Karla Marie Davis
• Scot Allen Davis
• Brooklyn Davison

• Physical Therapy Assistant in Nebraska City, NE
• Providers in Nebraska City, NE by specialty
• Physical Therapy Assistant in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.