Individual provider Active NPI

Anna Spencer, PT, DPT

  • Physical Therapist
  • Gretna, NE
National Provider Identifier
1962237263
Registry record updated Sep 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
4710 Issued in NE
Practice address
913 Village SQ
Gretna, NE 68028-7853
Phone
(402) 932-0747
Fax
(402) 991-5685
NPI assigned
Sep 5, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2024

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 4710 NE Primary

Addresses

Primary practice location

913 Village SQ
Gretna, NE 68028-7853

Mailing address

913 Village SQ
Gretna, NE 68028-7853
Phone (402) 932-0747

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240921000229 NE Practitioner - Physical Therapist in Private Practice 1052852746 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Creighton University School of Medicine, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Family Physical Therapy and Sports CenterGroup PAC ID 7214970177, 36 clinicians

Practice addresses (Care Compare)

211 W 33Rd St
Suite a
Kearney, NE 68845-3485
Phone (308) 236-5884

913 Village SQ
Gretna, NE 68028-7853
Phone (402) 932-0747

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4710NEMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Family Physical Therapy & Sports Center CurrentSince Sep 6, 2024 Accepting new patients
Family Physical Therapy & Sports Center Physical Therapist CurrentSince Sep 6, 2024 Accepting new patients
Family Physical Therapy & Sports Center Physical Therapist Past Accepting new patients

Locations

601 Highway 6
Ste B
Ashland, NE 68003
Phone (531) 240-4444

913 Village Sq
Gretna, NE 68028
Phone (402) 332-0102

211 W 33rd St
Ste A
Kearney, NE 68845
Phone (308) 236-5884

Organizations & group practices 3

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": "1725494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725926400000",
    "number": "1962237263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "913 VILLAGE SQ",
            "city": "GRETNA",
            "state": "NE",
            "postal_code": "680287853",
            "telephone_number": "402-932-0747",
            "fax_number": "402-991-5685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "913 VILLAGE SQ",
            "city": "GRETNA",
            "state": "NE",
            "postal_code": "680287853",
            "telephone_number": "402-932-0747",
            "fax_number": "402-991-5685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPENCER",
        "first_name": "ANNA",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-05",
        "last_updated": "2024-09-10",
        "certification_date": "2024-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NE",
            "license": "4710",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gretna, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2024; 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.