TARA NANNINGA (MSPT) – Physical Therapist, NPI 1558667584

TARA NANNINGA (MSPT) is a healthcare provider. based in Lincoln, Nebraska. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials MSPT. They hold a License No. 1720 (NE). The NPI Number for TARA NANNINGA (MSPT) is 1558667584

Main info

Female
31 Years Of Experience
Accepts Medicare Assignment
Name
TARA NANNINGA (MSPT)
NPI
1558667584
Phone
(402) 477-3110
Address
4911 N 26TH ST STE 100
Enumeration Date
9 February 2011
Last Update Date
20 July 2020

Doctor Profile

Medical School Name
UNIVERSITY OF NEBRASKA COLLEGE OF MEDICINE
Secondary Phone
4028735151
Graduation Year
1995 (31 years ago)
PAC ID
3274950860
Group Practice PAC ID
8426049248
Professional Enrollment ID
I20200827001533
Address ID
NE684102445NE115XXSTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:15State licenses:1Digital endpointsOther names

841 PHYSICAL THERAPIST IN PRIVATE PRACTICE in NE

Provider Addresses for TARA NANNINGA (MSPT)

  • 4911 N 26TH ST STE 100

    LINCOLN, NE 685214739

    Phone: (402) 477-3110

    Fax: (402) 477-4990

    Mailing address matches the actual address.

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: 2020-08-27

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

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
I20200827001533IPhysical Therapist In Private PracticeNETBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes1,49451$0
97140Therapy procedure using manual technique, each 15 minutes70942$0
G0283Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care52834$0
97035Application of ultrasound, each 15 minutes44532$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes19419$0
View full utilization report →

Insurance plans in this area (ZIP 68521)

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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: 8426049248View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeNE
Physical Therapist In Private PracticeNE
Physical Therapist In Private PracticeNE
Occupational Therapist In Private PracticeNE
Physical Therapist In Private PracticeNE
-NE
Physical Therapist In Private PracticeNE
Occupational Therapist In Private PracticeNE
Physical Therapist In Private PracticeNE
Physical Therapist In Private PracticeMT

Reviews

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Frequently asked questions

Does TARA NANNINGA (MSPT) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — TARA NANNINGA (MSPT) uses 1558667584.
Does the file indicate TARA NANNINGA (MSPT) is practicing under active NPI?
Directory data currently reports TARA NANNINGA (MSPT) as active.
What healthcare role does TARA NANNINGA (MSPT) hold?
Scheduling teams often label TARA NANNINGA (MSPT) under Physical Therapist. Clinical services aligned with this taxonomy classification.
Where is TARA NANNINGA (MSPT) based?
TARA NANNINGA (MSPT) is tied to Lincoln, Nebraska in the data we show; additional addresses may exist on the full record.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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