NICOLE M GRABER (PT) – Physical Therapist, NPI 1023149911

NICOLE M GRABER (PT) is a healthcare provider. based in Omaha, Nebraska. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT. They hold a License No. 03454 (IA). The NPI Number for NICOLE M GRABER (PT) is 1023149911

Main info

Female
24 Years Of Experience
Accepts Medicare Assignment
Name
NICOLE M GRABER (PT)
NPI
1023149911
Phone
(180) 033-4191
Address
11623 ARBOR ST
Enumeration Date
9 March 2007
Last Update Date
1 August 2012

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5635892454
Graduation Year
2002 (24 years ago)
PAC ID
0648570374
Group Practice PAC ID
5092622944
Professional Enrollment ID
I20151201002584
Address ID
IA520016392DU350XXAVEX402
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,303 PHYSICAL THERAPIST IN PRIVATE PRACTICE in IA

Provider Addresses for NICOLE M GRABER (PT)

  • 11623 ARBOR ST

    OMAHA, NE 681442981

    Phone: (180) 033-4191

    Type: Mailing

  • 401 CARDINAL AVE

    ATKINS, IA 522064701

    Phone: (319) 472-6372

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2015-12-01

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Past revalidation due date

Earliest CMS due date was 2023-12-31 (892 days ago).

Enrollment records

1

Earliest due date

2023-12-31

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20151201002584IPhysical Therapist In Private PracticeIA2023-12-31

What to do next

  • Verify current status on the CMS Revalidation Lookup Tool immediately.
  • Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
  • Overdue revalidation can lead to deactivation of Medicare billing privileges.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 68144)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5092622944View full group profile
NameSpecialtyState
H O S P I T A L I S TIA
-WI
Interventional Cardiology, Cardiovascular Disease (Cardiology), Internal MedicineIA
N E U R O S U R G E R YMN
Hospitalist, Internal MedicineLA
Nurse PractitionerIA
Nurse PractitionerWI
N E U R O L O G YIA
H O S P I T A L I S TIA
Physical Therapist In Private PracticeIA

Reviews

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Frequently asked questions

Is NICOLE M GRABER (PT) listed with a National Provider Identifier?
Yes — NICOLE M GRABER (PT) has NPI 1023149911 on file in the registry.
Is there an active status for NICOLE M GRABER (PT)?
For scheduling context, NICOLE M GRABER (PT) is shown as active in the registry.
How would a patient describe NICOLE M GRABER (PT)'s focus?
For NICOLE M GRABER (PT), the primary taxonomy reads as Physical Therapist. Clinical services aligned with this taxonomy classification.
Is NICOLE M GRABER (PT) associated with Omaha?
Public fields place NICOLE M GRABER (PT) around Omaha, Nebraska. Always confirm the exact site before visiting.
When was this NPI issued?
Enumeration for NICOLE M GRABER (PT) is noted as March 9, 2007 where the registry provides it.

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