Active NPI
Shane Lentz, PT, DPT
- Physical Therapist
- Omaha, NE
National Provider Identifier
1114695707
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 4269
- Practice address
- 11901 Pacific St Ste 2
Omaha, NE 68154-3421 - Phone
- (402) 401-6151
- Fax
- (402) 401-6181
- NPI assigned
- Aug 31, 2021
- Sex
- Male
- 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 | 4269 | NE | Primary |
Addresses
Primary practice location
11901 Pacific St Ste 2
Omaha, NE 68154-3421
Mailing address
PO Box 34669
Omaha, NE 68134-0669
Phone (402) 932-6791
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NE
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4269 | NE | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Strive Physical Therapy | Physical Therapist | Current | Accepting new patients |
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 and National Provider Directory roles.
-
- Physical Therapist
- Omaha, NE
- NPI 1669053526
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1630368000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1630368000000",
"number": "1114695707",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 34669",
"city": "OMAHA",
"state": "NE",
"postal_code": "681340669",
"telephone_number": "402-932-6791",
"fax_number": "402-614-7835"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11901 PACIFIC ST STE 2",
"city": "OMAHA",
"state": "NE",
"postal_code": "681543421",
"telephone_number": "402-401-6151",
"fax_number": "402-401-6181"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LENTZ",
"first_name": "SHANE",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-08-31",
"last_updated": "2021-08-31",
"certification_date": "2021-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NE",
"license": "4269",
"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 Aug 31, 2021; 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.