Active NPI
Kelly Dawn Sandstedt, P.T.
- Physical Therapist
- Elkhorn, NE
National Provider Identifier
1083748099
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2041
- Practice address
- 600 Brookestone Meadows PLZ
Elkhorn, NE 68022-4401 - Phone
- (402) 932-9406
- NPI assigned
- Mar 15, 2007
- 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 | 2041 | NE | Primary |
Addresses
Primary practice location
600 Brookestone Meadows PLZ
Elkhorn, NE 68022-4401
Mailing address
12111 N 160TH St
Bennington, NE 68007-7449
Phone (402) 350-3272
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 |
|---|---|---|---|
| 2041 | NE | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173916800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1773446400000",
"number": "1083748099",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12111 N 160TH ST",
"city": "BENNINGTON",
"state": "NE",
"postal_code": "680077449",
"telephone_number": "402-350-3272"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 BROOKESTONE MEADOWS PLZ",
"city": "ELKHORN",
"state": "NE",
"postal_code": "680224401",
"telephone_number": "402-932-9406"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANDSTEDT",
"first_name": "KELLY",
"middle_name": "DAWN",
"name_prefix": "Mrs.",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-15",
"last_updated": "2026-03-14",
"certification_date": "2026-03-14",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NE",
"license": "2041",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Elkhorn, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.