Individual provider Active NPI

Kristin Arens, PT

  • Physical Therapist
  • Verdigre, NE
National Provider Identifier
1104354521
Registry record updated May 30, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
3691 Issued in NE
Practice address
405 James St
Verdigre, NE 68783-6149
Phone
(402) 358-3339
Fax
(402) 358-3375
NPI assigned
May 30, 2017
Last updated
May 30, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 30, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 3691 NE Primary

Addresses

Primary practice location

405 James St
Verdigre, NE 68783-6149

Mailing address

PO Box 633
Creighton, NE 68729-0633
Phone (402) 358-3339

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE, SD2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20170719002570 NE Practitioner - Physical Therapist in Private Practice 9133499437 Reassigns benefits to 1 organization
I20180411001922 SD Practitioner - Physical Therapist in Private Practice 9133499437

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Overland Rehab Services LLCGroup PAC ID 9830168525, 4 clinicians

Practice addresses (Care Compare)

708 Millard Ave
Creighton, NE 68729-3001
Phone (402) 358-3339

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1496102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1496102400000",
    "number": "1104354521",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 633",
            "city": "CREIGHTON",
            "state": "NE",
            "postal_code": "687290633",
            "telephone_number": "402-358-3339",
            "fax_number": "402-358-3375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 JAMES ST",
            "city": "VERDIGRE",
            "state": "NE",
            "postal_code": "687836149",
            "telephone_number": "402-358-3339",
            "fax_number": "402-358-3375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARENS",
        "first_name": "KRISTIN",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-30",
        "last_updated": "2017-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NE",
            "license": "3691",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Verdigre, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2017; 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.