Active NPI
Molly Lee Kroeker, MSPT
- Physical Therapist
- Lincoln, NE
National Provider Identifier
1609047190
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1885
- Practice address
- 4107 Pioneer Woods Dr
Suite 106
Lincoln, NE 68506-7562 - Phone
- (402) 488-5122
- Fax
- (402) 488-5166
- NPI assigned
- Mar 12, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1885 | NE | Primary |
Addresses
Primary practice location
4107 Pioneer Woods Dr
Suite 106
Lincoln, NE 68506-7562
Mailing address
4107 Pioneer Woods Dr
Suite 106
Lincoln, NE 68506-7562
Phone (402) 488-5122
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1885 | NE | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1205280000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1205280000000",
"number": "1609047190",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4107 PIONEER WOODS DR",
"address_2": "SUITE 106",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685067562",
"telephone_number": "402-488-5122",
"fax_number": "402-488-5166"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4107 PIONEER WOODS DR",
"address_2": "SUITE 106",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685067562",
"telephone_number": "402-488-5122",
"fax_number": "402-488-5166"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KROEKER",
"first_name": "MOLLY",
"middle_name": "LEE",
"credential": "MSPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-03-12",
"last_updated": "2008-03-12",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NE",
"license": "1885",
"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 Mar 12, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.