Individual provider Active NPI

Staci Lucetta Bornschlegl, P.T.

  • Physical Therapist
  • Lincoln, NE
National Provider Identifier
1932160140
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2032 Issued in NE
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, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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 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 Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060811000356 NE Practitioner - Physical Therapist in Private Practice 3274536339 Reassigns benefits to 1 organization

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
Proformance Physical Therapy and Sports Rehab, P.C.Group PAC ID 7911900071, 5 clinicians

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 100Reported as group
Quality
95
Improvement activities
40
Cost
89.21

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Proformance Physical Therapy and Sports Rehab, P.C. Physical Therapist CurrentSince Jun 1, 2006 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.

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.

Verify at the official NPI Registry.