Jennifer Nourse, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

03288 Issued in IA

Practice address

2306 Sherwood Dr
Council Bluffs, IA 51503-1048

Phone

(712) 322-1000

NPI assigned

Aug 24, 2007

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Jennifer Petersen Former name

Medicare fee-for-service enrollment

Enrolled in IA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Creighton University School of Medicine, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Empowerme Asl LLCGroup PAC ID 3476969387, 80 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Empowerme Asl, LLC

  • Multi-Specialty Clinic/Center
  • Fort Madison, IA
  • NPI 1376138305

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Empowerme Asl, LLC

  • Rehabilitation Clinic/Center
  • Grand Island, NE
  • NPI 1447944657
  NPD
• The Rose of Council Bluffs, L.P.

  • Assisted Living Facility
  • Council Bluffs, IA
  • NPI 1154765873
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1187913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703635200000",
    "number": "1033302781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22396 CHESTNUT RD",
            "city": "COUNCIL BLUFFS",
            "state": "IA",
            "postal_code": "515037411",
            "telephone_number": "402-659-3641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2306 SHERWOOD DR",
            "city": "COUNCIL BLUFFS",
            "state": "IA",
            "postal_code": "515031048",
            "telephone_number": "712-322-1000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1600 McPherson Ave",
            "address_purpose": "LOCATION",
            "city": "Council Bluffs",
            "state": "IA",
            "postal_code": "515034858",
            "country_code": "US",
            "telephone_number": "615-896-6400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NOURSE",
        "first_name": "JENNIFER",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-24",
        "last_updated": "2023-12-27",
        "certification_date": "2023-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IA",
            "license": "03288",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "PETERSEN",
            "credential": "DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• NLC Partners, L.L.C. (Northcrest Living Center)
• Deandra Jeanne Noller, PT, DPT
• Truman Nord
• Northland Hearing Centers, Inc. (Nebraska Hearing)
• Leslie Noty
• Daniel Joseph Novak, O.D.
• Novel Care
• Elizabeth Ann Nutty, APRN
• Mirabel Nchedo Nwosu
• Tessa O'Neill, APRN

• Physical Therapist in Council Bluffs, IA
• Providers in Council Bluffs, IA by specialty
• Physical Therapist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.