Individual provider Active NPI

Darlene Mowrey, DPT

  • Physical Therapist
  • Grand Island, NE
National Provider Identifier
1568912392
Registry record updated Jan 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
3625 Issued in NE
Practice address
819 N Diers Ave Ste 7
Grand Island, NE 68803-4957
Phone
(308) 270-3828
Fax
(308) 624-4071
NPI assigned
Oct 5, 2016
Reactivated
Sep 11, 2020
Last updated
Jan 26, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 26, 2024

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 3625 NE Primary

Addresses

Primary practice location

819 N Diers Ave Ste 7
Grand Island, NE 68803-4957

Mailing address

323 Nelson St
Saint Paul, NE 68873-2238
Phone (317) 750-6676

Other identifiers 1

IdentifierTypeStateIssuer
47065477701MedicaidNE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161011002200 NE Practitioner - Physical Therapist in Private Practice 4688962491 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Indiana University School of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

819 N Diers Ave
Suite 7
Grand Island, NE 68803-4957
Phone (308) 270-3828

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

State licenses

LicenseStateTypeSpecialty
3625NEMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Integrated Therapy of Grand Island LLC Physical Therapist CurrentSince Jan 10, 2024 Accepting new patients

Locations

819 N Diers Ave
Ste 7
Grand Island, NE 68803
Phone (308) 270-3828

Organizations & group practices 1

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": "1475625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706227200000",
    "number": "1568912392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "323 NELSON ST",
            "city": "SAINT PAUL",
            "state": "NE",
            "postal_code": "688732238",
            "telephone_number": "317-750-6676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "819 N DIERS AVE STE 7",
            "city": "GRAND ISLAND",
            "state": "NE",
            "postal_code": "688034957",
            "telephone_number": "308-270-3828",
            "fax_number": "308-624-4071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOWREY",
        "first_name": "DARLENE",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-10-05",
        "last_updated": "2024-01-26",
        "certification_date": "2024-01-26",
        "deactivation_date": "2017-11-07",
        "reactivation_date": "2020-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NE",
            "license": "3625",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "47065477701",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Island, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2024; 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.