Individual provider Active NPI

Kymberly Laursen, DPT

  • Physical Therapist
  • Nebraska City, NE
National Provider Identifier
1699414979
Registry record updated Jun 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
4347 Issued in NE
Practice address
1104 Grundman Blvd
Nebraska City, NE 68410-3397
Phone
(402) 873-7411
NPI assigned
Jun 3, 2022
Last updated
Jun 3, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2022

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 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 Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220623000620 NE Practitioner - Physical Therapist in Private Practice 9335528298 Reassigns benefits to 3 organizations

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
Goodcare Athome Rehab LLCGroup PAC ID 7517289614, 16 clinicians

Practice addresses (Care Compare)

Arlington, NE 68002
Phone (605) 231-2490

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4347NEMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Havelock Physical Therapy LLC Physical Therapist CurrentSince Jun 1, 2022 Accepting new patients
Blue Stone Therapy Inc. CurrentSince Aug 1, 2025 Accepting new patients
Goodcare Athome Rehab, LLC Physical Therapist CurrentSince Nov 1, 2024 Accepting new patients
Nebraska City Physical Therapy, LLC Physical Therapist CurrentSince Jun 1, 2022 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.

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.

Verify at the official NPI Registry.