Active NPI
Staci Lucetta Bornschlegl, P.T.
- Physical Therapist
- Lincoln, NE
National Provider Identifier
1932160140
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2032
- Practice address
- 4525 S 86TH St
Suite B
Lincoln, NE 68526-9227 - Phone
- (402) 420-6694
- NPI assigned
- Mar 29, 2006
- Last updated
- Jul 13, 2026
- 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 | 2032 | NE | Primary |
Addresses
Primary practice location
4525 S 86TH St
Suite B
Lincoln, NE 68526-9227
Mailing address
3340 Canyon CT
Lincoln, NE 68516-5748
Phone (402) 420-6694
Other names 1
- Staci Lucetta Lang
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
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4220 Lucile Dr
Suite 3
Lincoln, NE 68506-6004
Phone (402) 327-9000
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.76 of 100
- Quality
- 95
- Improvement activities
- 40
- Cost
- 89.21
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Proformance Physical Therapy and Sports Rehab, P.C. | Physical Therapist | Current | Accepting new patients |
Locations
4220 Lucile Dr
Ste 3
Lincoln, NE 68506
Phone (402) 327-9000
4525 S 86th St
Ste B
Lincoln, NE 68526
Phone (402) 327-9000
Organizations & group practices 1
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.
-
- Physical Therapist
- Lincoln, NE
- NPI 1225082480
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143590400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1932160140",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3340 CANYON CT",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685165748",
"telephone_number": "402-420-6694"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4525 S 86TH ST",
"address_2": "SUITE B",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685269227",
"telephone_number": "402-420-6694"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BORNSCHLEGL",
"first_name": "STACI",
"middle_name": "LUCETTA",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-29",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NE",
"license": "2032",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "STACI",
"last_name": "LANG",
"middle_name": "LUCETTA",
"credential": "P.T.",
"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 Jul 13, 2026; 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.