Active NPI
Marlys Freese, PT
- Physical Therapist
- Lincoln, NE
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 592
- Practice address
- 4710 Happy Hollow LN
Lincoln, NE 68516-5124 - Phone
- (402) 416-6810
- NPI assigned
- Aug 29, 2006
- 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 | 592 | NE | Primary |
Addresses
Primary practice location
4710 Happy Hollow LN
Lincoln, NE 68516-5124
Mailing address
4710 Happy Hollow LN
Lincoln, NE 68516-5124
Phone (402) 416-6810
Other names 1
- Marlys De Groot
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 592 | NE | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Physician Network | Current | Accepting new patients | |
| Lincoln Physician Network LLC | Past | Accepting new patients |
Locations
2683 Solution Ctr
Chicago, IL 60677
2000 Q St
Ste 500
Lincoln, NE 68503
Phone (402) 421-0896
2510 S 40th St
Ste 200
Lincoln, NE 68506
Phone (402) 486-3333
7121 Stephanie Ln
Ste 105
Lincoln, NE 68516
Phone (402) 484-8383
5000 N 26th St
Ste 400
Lincoln, NE 68521
Phone (402) 742-8410
Organizations & group practices 2
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.
-
- Family Medicine Physician
- Lincoln, NE
- NPI 1437184652
-
dba Linc Care / Company Care
- Urgent Care Clinic/Center
- Lincoln, NE
- NPI 1902116833
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156809600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1585699200000",
"number": "1881702884",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4710 HAPPY HOLLOW LN",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685165124",
"telephone_number": "402-416-6810"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4710 HAPPY HOLLOW LN",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685165124",
"telephone_number": "402-416-6810"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FREESE",
"first_name": "MARLYS",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-29",
"last_updated": "2020-04-01",
"certification_date": "2020-04-01",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NE",
"license": "592",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MARLYS",
"last_name": "DE GROOT",
"credential": "PT",
"code": "1",
"type": "Former Name"
}
]
}
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 Apr 1, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.