Individual provider Active NPI

Bryson Krull, PT, DPT

  • Physical Therapist
  • Lincoln, NE
National Provider Identifier
1669360541
Registry record updated Jun 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
4832 Issued in NE
Practice address
4055 Yankee Hill Rd Ste 102
Lincoln, NE 68516-7735
Phone
(402) 434-5895
Fax
(402) 434-5899
NPI assigned
Jun 27, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2025

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 4832 NE Primary

Addresses

Primary practice location

4055 Yankee Hill Rd Ste 102
Lincoln, NE 68516-7735

Mailing address

PO Box 5285
Grand Island, NE 68802-5285
Phone (308) 675-1853

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250709003930 NE Practitioner - Physical Therapist in Private Practice 2668986720 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Go Physical Therapy LLCGroup PAC ID 0749258994, 98 clinicians

Practice addresses (Care Compare)

4055 Yankee Hill Rd
Suite 102
Lincoln, NE 68516-7735
Phone (402) 434-5895

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4832NEMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Physician Network CurrentSince Jun 26, 2025 Accepting new patients
Go Physical Therapy, LLC Physical Therapist CurrentSince Jun 26, 2025 Accepting new patients

Locations

620 N Diers Ave
Ste 300
Grand Island, NE 68803
Phone (308) 382-0344

4055 Yankee Hill Rd
Ste 102
Lincoln, NE 68516
Phone (402) 434-5895

4001 O St
Lincoln, NE 68510
Phone (402) 817-0834

4055 Yankee Hill Rd
Lincoln, NE 68516
Phone (402) 328-6300

4740 N 27th St
Ste 2
Lincoln, NE 68521
Phone (402) 742-8410

1601 N 86th St
Ste 300
Lincoln, NE 68505
Phone (402) 327-7515

4701 Champlain Dr
Ste 500
Lincoln, NE 68521
Phone (402) 413-2127

2510 S 40th St
Ste 200
Lincoln, NE 68506
Phone (402) 486-3333

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1750982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750982400000",
    "number": "1669360541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5285",
            "city": "GRAND ISLAND",
            "state": "NE",
            "postal_code": "688025285",
            "telephone_number": "308-675-1853",
            "fax_number": "308-210-4121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4055 YANKEE HILL RD STE 102",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685167735",
            "telephone_number": "402-434-5895",
            "fax_number": "402-434-5899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRULL",
        "first_name": "BRYSON",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-06-27",
        "last_updated": "2025-06-27",
        "certification_date": "2025-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NE",
            "license": "4832",
            "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 27, 2025; 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.