Active NPI
Bryce Allen Rolenc, PT, DPT
- Physical Therapist
- Crete, NE
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- NE3950
- Practice address
- 1105 E Highway 33
Crete, NE 68333-5075 - Phone
- (402) 826-2255
- Fax
- (402) 826-2288
- NPI assigned
- Jun 11, 2019
- Sex
- Male
- 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 | NE3950 | NE | Primary |
Addresses
Primary practice location
1105 E Highway 33
Crete, NE 68333-5075
Mailing address
1550 S Coddington Ave Ste C
Lincoln, NE 68522-4402
Phone (402) 423-0303
Other practice location 1
1550 S Coddington Ave Ste C
Lincoln, NE 68522-4402
Phone (402) 423-0303
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
- University of Nebraska College of Medicine, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
8901 Andermatt Dr
Suite 105
Lincoln, NE 68526-6032
8901 Andermatt Dr
Suite 105
Lincoln, NE 68526-9756
Phone (402) 423-7325
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NE3950 | NE | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Crete Physical Therapy, LLC | Physical Therapist | Current | Accepting new patients |
| Coddington Physical Therapy, LLC | Physical Therapist | Current | Accepting new patients |
Locations
830 E 1st St
Crete, NE 68333
Phone (402) 826-2255
1550 S Coddington Ave
Ste C
Lincoln, NE 68522
Phone (402) 423-0303
Organizations & group practices 3
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.
-
- Physical Therapy Clinic/Center
- Lincoln, NE
- NPI 1780996033
-
- Physical Therapist
- Lincoln, NE
- NPI 1740503739
-
- Physical Therapist
- Crete, NE
- NPI 1841246170
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1560211200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1598486400000",
"number": "1750940839",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1550 S CODDINGTON AVE STE C",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685224402",
"telephone_number": "402-423-0303",
"fax_number": "402-423-0202"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1105 E HIGHWAY 33",
"city": "CRETE",
"state": "NE",
"postal_code": "683335075",
"telephone_number": "402-826-2255",
"fax_number": "402-826-2288"
}
],
"practiceLocations": [
{
"address_1": "1550 S Coddington Ave Ste C",
"address_purpose": "LOCATION",
"city": "Lincoln",
"state": "NE",
"postal_code": "685224402",
"country_code": "US",
"telephone_number": "402-423-0303",
"fax_number": "402-423-0202",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ROLENC",
"first_name": "BRYCE",
"middle_name": "ALLEN",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-06-11",
"last_updated": "2020-08-27",
"certification_date": "2020-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NE",
"license": "NE3950",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Crete, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2020; 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.