Individual provider Active NPI

Kimberly L Knopik, PT

  • Orthopedic Physical Therapist
  • Lincoln, NE
National Provider Identifier
1851348684
Registry record updated Aug 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
Practice address
2801 Pine Lake Rd
Suite K
Lincoln, NE 68516-6041
Phone
(402) 436-2986
Fax
(402) 436-2999
NPI assigned
May 27, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X Primary
Physical Medicine & Rehabilitation Physician 208100000X 889 NE

Addresses

Primary practice location

2801 Pine Lake Rd
Suite K
Lincoln, NE 68516-6041

Mailing address

5790 N 33Rd St
Suite a
Lincoln, NE 68504-4651
Phone (402) 436-2992

Other identifiers 2

IdentifierTypeStateIssuer
P00338230OtherNERAILROAD MEDICARE
02135OtherNEBLUECROSS BLUESHIELD

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050718000721 NE Practitioner - Physical Therapist in Private Practice 3779510193 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lincoln Orthopedic Physical Therapy PCGroup PAC ID 8729074166, 47 clinicians

Practice addresses (Care Compare)

2801 Pine Lake Rd
Suite K
Lincoln, NE 68516-6041
Phone (402) 436-2986

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
889NEMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Lincoln Orthopedic Physical Therapy PC Orthopedic CurrentSince Sep 1, 2015 Accepting new patients
Lincoln Orthopedic Physical Therapy PC Orthopedic CurrentSince Sep 1, 2015 Accepting new patients
Makovicka Harms Group PC Orthopedic PastSince Jul 8, 2019 Accepting new patients
Makovicka Sylliaasen PC PastSince Jan 6, 2010 Accepting new patients

Locations

2801 Pine Lake Rd
Ste K
Lincoln, NE 68516
Phone (402) 436-2535

6900 A St
Ste 102
Lincoln, NE 68510
Phone (402) 436-2535

1651 N 86th St
Ste 100
Lincoln, NE 68505
Phone (402) 484-7117

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": "1148688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660780800000",
    "number": "1851348684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5790 N 33RD ST",
            "address_2": "SUITE A",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685044651",
            "telephone_number": "402-436-2992",
            "fax_number": "402-436-2996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 PINE LAKE RD",
            "address_2": "SUITE K",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685166041",
            "telephone_number": "402-436-2986",
            "fax_number": "402-436-2999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNOPIK",
        "first_name": "KIMBERLY",
        "middle_name": "L",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-27",
        "last_updated": "2022-08-18",
        "certification_date": "2022-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NE",
            "license": "889",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00338230",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS BLUESHIELD",
            "identifier": "02135",
            "state": "NE"
        }
    ],
    "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 Aug 18, 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.