Jaclyn Grevengoed, PT
NPI 1144650482 · Physical Therapist · Omaha, NE
Enrolled with Medicare as Practitioner - Physical Therapist in Private Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jaclyn Grevengoed, PT is a Physical Therapist provider in Omaha, NE (NPI 1144650482).
Provider details
- NPI number
- 1144650482
- Entity type
- Individual
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PT
- Sex
- Female
- Sole proprietor
- No
- License
- 3922 (NE)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
12 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
1,148 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Therapy Procedure Using Exercise to Develop Strength, Endurance, Range of Motion, and Flexibility, Each 15 Minutes97110 | 600 | $22 |
| Therapy Procedure Using Functional Activities97530 | 405 | $31 |
| Evaluation for Physical Therapy, Typically 45 Minutes97163 | 44 | $92 |
| Evaluation for Physical Therapy, Typically 30 Minutes97162 | 41 | $94 |
| Re-Evaluation for Physical Therapy, Typically 20 Minutes97164 | 38 | $65 |
| Evaluation for Physical Therapy, Typically 20 Minutes97161 | 20 | $93 |
Typical Medicare-allowed amounts for these services range $22–$94 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
Practice location
Mailing address
Registry dates
- Enumerated
- 2013-11-23
- Last updated
- 2023-09-11
- Certified
- 2023-09-11
Frequently asked questions
- What is Jaclyn Grevengoed's NPI number?
- Jaclyn Grevengoed's National Provider Identifier (NPI) is 1144650482, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jaclyn Grevengoed's specialty?
- Jaclyn Grevengoed is listed in the NPPES registry with a primary specialty of Physical Therapist (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Jaclyn Grevengoed located?
- Jaclyn Grevengoed's practice location on file with NPPES is 13616 California St Ste 100, Omaha, NE 68154-5336.
- What is Jaclyn Grevengoed's phone number?
- The practice phone number listed in the NPPES registry for Jaclyn Grevengoed is (402) 496-0404.
- Does Jaclyn Grevengoed accept Medicare?
- Jaclyn Grevengoed is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Jaclyn Grevengoed's NPI active?
- Yes — Jaclyn Grevengoed's NPI (1144650482) is active in the NPPES registry as of the last update on 2023-09-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.