Individual provider Active NPI

Nathan Anthony Gurule, PT, DPT

  • Physical Therapist
  • Lincoln, NE
National Provider Identifier
1760089486
Registry record updated Oct 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
4152 Issued in NE
Practice address
1501 Pine Lake Rd Ste 20
Lincoln, NE 68512-3692
Phone
(402) 421-2700
NPI assigned
Oct 6, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2020

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 4152 NE Primary

Addresses

Primary practice location

1501 Pine Lake Rd Ste 20
Lincoln, NE 68512-3692

Mailing address

10224 White Cap LN Apt B
Bellevue, NE 68123-6088
Phone (701) 640-6235

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210205001046 NE Practitioner - Physical Therapist in Private Practice 5799199519 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

6940 Van Dorn St
Suite 103
Lincoln, NE 68506-2858
Phone (402) 483-4709

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Lincoln Physical Therapy and Sports Rehab LLC Physical Therapist CurrentSince Jun 1, 2021 Accepting new patients
Lincoln Physical Therapy and Sports Rehab LLC Physical Therapist CurrentSince Jun 1, 2021 Accepting new patients
Lincoln Physical Therapy and Sports Rehab LLC Physical Therapist Current Accepting new patients
Lincoln Physical Therapy and Sports Rehab LLC Physical Therapist Past Accepting new patients

Locations

1501 Pine Lake Rd
Ste 20
Lincoln, NE 68512
Phone (402) 421-2700

6940 Van Dorn St
Ste 103
Lincoln, NE 68506
Phone (402) 483-4709

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1601942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601942400000",
    "number": "1760089486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10224 WHITE CAP LN APT B",
            "city": "BELLEVUE",
            "state": "NE",
            "postal_code": "681236088",
            "telephone_number": "701-640-6235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 PINE LAKE RD STE 20",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685123692",
            "telephone_number": "402-421-2700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GURULE",
        "first_name": "NATHAN",
        "middle_name": "ANTHONY",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-10-06",
        "last_updated": "2020-10-06",
        "certification_date": "2020-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NE",
            "license": "4152",
            "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 Oct 6, 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.

Verify at the official NPI Registry.