Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jaclyn Grevengoed, PT

Individual provider Physical Therapist · NPI 1144650482

Jaclyn Grevengoed, PT is a Physical Therapist in Private Practice in Omaha, Nebraska. Graduated from Mayo Medical School in 2013, 13 years ago. Practices with Nebraska Spine Center, LLP, a 35-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Nebraska.

Years since qualifying
13
Trained at
Mayo Medical School
Licensed in
NE
In the registry since
2013
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

13616 California St Ste 100
Omaha, NE 68154-5336
Phone: (402) 496-0404
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 3922 (NE)

Record details

NPI number1144650482
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT
Sole proprietorNo
NPI enumeratedNovember 23, 2013
Last updated in NPPESSeptember 11, 2023
Certification dateSeptember 11, 2023
Mailing address7505 Country Club Dr, Golden Valley, MN 55427-4501

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolMAYO MEDICAL SCHOOL
Graduated 2013 (13 years in practice)
Group practice Nebraska Spine Center, Llp — 35 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Omaha