Active NPI
Kymberly Laursen, DPT
- Physical Therapist
- Nebraska City, NE
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 4347
- Practice address
- 1104 Grundman Blvd
Nebraska City, NE 68410-3397 - Phone
- (402) 873-7411
- NPI assigned
- Jun 3, 2022
- Last updated
- Jun 3, 2022
- 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 | 4347 | NE | Primary |
Addresses
Primary practice location
1104 Grundman Blvd
Nebraska City, NE 68410-3397
Mailing address
1604 Hill St
Plattsmouth, NE 68048-2335
Other names 1
- Kymberly Graham
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NE
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Creighton University School of Medicine, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
Arlington, NE 68002
Phone (605) 231-2490
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4347 | NE | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Havelock Physical Therapy LLC | Physical Therapist | Current | Accepting new patients |
| Blue Stone Therapy Inc. | Current | Accepting new patients | |
| Goodcare Athome Rehab, LLC | Physical Therapist | Current | Accepting new patients |
| Nebraska City Physical Therapy, LLC | Physical Therapist | Current | Accepting new patients |
Locations
2830 100th St
Ste 100
Urbandale, IA 50322
Phone (515) 537-4770
3535 Piney Creek Dr
Elkhorn, NE 68022
6319 Havelock Ave
Lincoln, NE 68507
Phone (402) 325-0044
1104 Grundman Blvd
Nebraska City, NE 68410
Phone (402) 873-7411
510 Bradford St
Ste B
Seward, NE 68434
Phone (402) 646-2007
1000 N West Ave
Ste 210
Sioux Falls, SD 57104
Phone (605) 403-0933
Organizations & group practices 4
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.
-
dba Exstrom Physical Therapy
- Physical Therapy Clinic/Center
- Nebraska City, NE
- NPI 1437453164
Physical Therapist
-
- Physical Medicine & Rehabilitation Physician
- Urbandale, IA
- NPI 1932797297
NE
-
dba Havelock Physical Therapy
- Physical Therapy Clinic/Center
- Lincoln, NE
- NPI 1952638355
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1654214400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1654214400000",
"number": "1699414979",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1604 HILL ST",
"city": "PLATTSMOUTH",
"state": "NE",
"postal_code": "680482335"
},
{
"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": "LAURSEN",
"first_name": "KYMBERLY",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-06-03",
"last_updated": "2022-06-03",
"certification_date": "2022-05-06",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NE",
"license": "4347",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KYMBERLY",
"last_name": "GRAHAM",
"credential": "DPT",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Nebraska City, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2022; 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.