Active NPI
Kristen Watson, PT, DPT
- Physical Therapist
- Omaha, NE
National Provider Identifier
1073863007
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 3432
- Practice address
- 17500 Burke St
Omaha, NE 68118 - Phone
- (402) 401-3900
- Fax
- (402) 401-3908
- NPI assigned
- Sep 18, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 3432 | NE | Primary |
Addresses
Primary practice location
17500 Burke St
Omaha, NE 68118
Mailing address
5401 South St
Lincoln, NE 68506-2150
Phone (402) 413-3900
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3432 | NE | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| For Life Human Performance Inc | Physical Therapist | Past | Accepting new patients |
| For Life Therapy Inc | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba For Life Physical Therapy
- Physical Therapist
- Watertown, SD
- NPI 1578923975
-
- Physical Therapy Clinic/Center
- Watertown, SD
- NPI 1396009197
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1347926400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1527638400000",
"number": "1073863007",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5401 SOUTH ST",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685062150",
"telephone_number": "402-413-3900",
"fax_number": "402-413-3909"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17500 BURKE ST",
"city": "OMAHA",
"state": "NE",
"postal_code": "68118",
"telephone_number": "402-401-3900",
"fax_number": "402-401-3908"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WATSON",
"first_name": "KRISTEN",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-09-18",
"last_updated": "2018-05-30",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NE",
"license": "3432",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Omaha, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.