Kel-PT LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

KEL-PT LLC

Practice address

214 N Pearl St Ste a
Wayne, NE 68787-1902

Phone

(402) 999-4564

NPI assigned

Oct 29, 2019

Organization subpart

No

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

Authorized official

Name

Karen E Longe, MPT, DPTNPI 1437396520

Title

President

Phone

(703) 946-3227

Specialties & licenses 1

Addresses

Other names 1

• KEL Physical Therapy & Wellness Doing business as

Medicare fee-for-service enrollment

Enrolled in NE

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Karen E Longe, MPT

  • Physical Therapist
  • Marshall, VA
  • NPI 1437396520

  NE

  Medicare reassignment Care Compare group NPD Authorized official
• Julia Helen Vilkas

  • Physical Therapist
  • Wayne, NE
  • NPI 1740475474
  Medicare reassignment Care Compare group NPD
• Jacob Reifenrath

  • Physical Therapist
  • Norfolk, NE
  • NPI 1447788567
  Medicare reassignment NPD

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

{
    "created_epoch": "1572307200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1572307200000",
    "number": "1083258594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 124",
            "city": "WAYNE",
            "state": "NE",
            "postal_code": "687870124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 N PEARL ST STE A",
            "city": "WAYNE",
            "state": "NE",
            "postal_code": "687871902",
            "telephone_number": "402-999-4564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEL-PT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-29",
        "last_updated": "2019-10-29",
        "status": "A",
        "authorized_official_last_name": "LONGE",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "703-946-3227",
        "authorized_official_credential": "MPT, DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "KEL Physical Therapy & Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Joel Steven Jorgensen
• Shelley Ann Jorgensen
• Jaelyn Marie Kabisch
• Shawnah Kaye Kee, ATC
• Max Keezel
• Levi Kenny, D.C.
• Sonya Marie King, BS
• Jazmn Knox
• Mitchell J Knudsen, DDS
• Cassandra Korth, PHARMD

• Physical Therapy Clinic/Center in Wayne, NE
• Providers in Wayne, NE by specialty
• Physical Therapy Clinic/Center in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.