Active NPI
Gregory Mark Hagele, PT
- Physical Medicine & Rehabilitation Physician
- Lincoln, NE
National Provider Identifier
1962634303
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- 2812
- Practice address
- 575 S 70TH St
Suite 300
Lincoln, NE 68510-2471 - Phone
- (402) 219-7498
- Fax
- (402) 219-7327
- NPI assigned
- Aug 19, 2009
- Sex
- Male
- 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 Medicine & Rehabilitation Physician | 208100000X | 2812 | NE | Primary |
Addresses
Primary practice location
575 S 70TH St
Suite 300
Lincoln, NE 68510-2471
Mailing address
8055 O St
Suite 300
Lincoln, NE 68510-2564
Phone (402) 421-0904
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 |
|---|---|---|---|
| 2812 | NE | MD | Physical Medicine & Rehabilitation Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lincoln Physician Network LLC | Past | Accepting new patients | |
| The Physician Network | Physical Medicine & Rehabilitation | Past | Accepting new patients |
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.
-
dba Linc Care / Company Care
- Urgent Care Clinic/Center
- Lincoln, NE
- NPI 1902116833
-
- Family Medicine Physician
- Lincoln, NE
- NPI 1437184652
Physical Medicine & Rehabilitation
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1250640000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1250640000000",
"number": "1962634303",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8055 O ST",
"address_2": "SUITE 300",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685102564",
"telephone_number": "402-421-0904",
"fax_number": "402-421-0946"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "575 S 70TH ST",
"address_2": "SUITE 300",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685102471",
"telephone_number": "402-219-7498",
"fax_number": "402-219-7327"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAGELE",
"first_name": "GREGORY",
"middle_name": "MARK",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-08-19",
"last_updated": "2009-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "NE",
"license": "2812",
"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 Aug 19, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.