Individual provider Active NPI

Korey Pearson, DPT

  • Physical Therapist
  • Lincoln, NE
National Provider Identifier
1962398768
Registry record updated Jun 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
4813 Issued in NE
Practice address
333 S 70TH St Ste 102
Lincoln, NE 68510-2587
Phone
(531) 500-4160
Fax
(531) 500-3024
NPI assigned
Jun 17, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2025

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 4813 NE Primary

Addresses

Primary practice location

333 S 70TH St Ste 102
Lincoln, NE 68510-2587

Mailing address

PO Box 34669
Omaha, NE 68134-0669
Phone (402) 392-6791

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250723000701 NE Practitioner - Physical Therapist in Private Practice 5294241527 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
Makovicka Harms Group PCGroup PAC ID 0143374124, 48 clinicians

Practice addresses (Care Compare)

333 S 70TH St
Suite 102
Lincoln, NE 68510-2403
Phone (531) 500-4160

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4813NEMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Makovicka Harms Group PC Physical Therapist CurrentSince Jun 16, 2025 Accepting new patients

Locations

333 S 70th St
Ste 102
Lincoln, NE 68510
Phone (531) 500-4160

4235 N 90th St
Omaha, NE 68134
Phone (402) 934-0045

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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1750118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750118400000",
    "number": "1962398768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 34669",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681340669",
            "telephone_number": "402-392-6791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 S 70TH ST STE 102",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685102587",
            "telephone_number": "531-500-4160",
            "fax_number": "531-500-3024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEARSON",
        "first_name": "KOREY",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-06-17",
        "last_updated": "2025-06-17",
        "certification_date": "2025-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NE",
            "license": "4813",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jun 17, 2025; 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.