Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum
Jaclyn Grevengoed, PT
Physical Therapist in Omaha, NE · enumerated 2013.
Data current as of Jul 13, 2026 · sourced from CMS NPPES
National Provider Identifier
1144650482
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Registry record
Entity type Individual (Type 1)
Name Jaclyn Grevengoed
Credential PT
Sex Female
Practice address 13616 California St Ste 100, Omaha, NE, 68154
Phone (402) 496-0404
Enumeration date Nov 23, 2013
Last updated in NPPES Sep 11, 2023
Taxonomy & licenses
225100000X Physical Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers · License 3922 (NE) Primary
PT · Physical Therapist: A licensed movement specialist treating injury and disability through exercise and rehabilitation.
About the PT credential
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 47081304012 | Medicaid | NE | - |
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.
Frequently asked questions
What specialty is Jaclyn Grevengoed?
Jaclyn Grevengoed is registered in NPPES with the primary taxonomy of Physical Therapist. The taxonomy code describes the provider's classification and area of specialization for claims and credentialing.
Is this the official NPI registry?
No. NPI Portal is a private site built on public CMS NPPES data. The official registry is npiregistry.cms.hhs.gov, operated by CMS.
Other providers at this practice address
Browse all → Erin Stock Physician Assistant · Omaha, NE NPI 1538135801 Chase Woodward Orthopaedic Surgery of the Spine Physician · Omaha, NE NPI 1154682052 Adam Schell Orthopaedic Surgery of the Spine Physician · Omaha, NE NPI 1003202086 Travis Bailey Orthopaedic Surgery of the Spine Physician · Omaha, NE NPI 1992182679 Kelly Samson Physical Therapist · Omaha, NE NPI 1659886224 Jasmin Van Weelden Physician Assistant · Omaha, NE NPI 1114480845 Rachel Witkovski Physical Therapist · Omaha, NE NPI 1134775869 Krista Johnson Athletic Trainer · Omaha, NE NPI 1194364752
Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2023-09-11.