Kristi L Jagels, PT

Individual provider Active NPI Physical Therapist · Madison, NE

NPI 1144308271 · NPPES record last updated Apr 22, 2010

Key facts

NPI
1144308271
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapist 225100000X
License
1299 (NE)
Practice address
119 Saddle Lane
Madison, NE 68748-6009
Phone
(402) 454-9300
Fax
(402) 454-9304
NPI assigned
Nov 2, 2006
Sex
Female
Sole proprietor
Yes

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.

Medicare Care Compare profile

Specialty
Physical Therapist in Private Practice
Education
Sanford School of Medicine of University of South Dakota, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Taylor Creek Physical Therapy LLC (2 clinicians)

Practice addresses (Care Compare)

2404 Taylor Ave
Suite 300
Norfolk, NE 68701-4646
Phone (402) 379-0505

Medicare participation

Medicare fee-for-service enrollment
Enrolled in NE

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20080509000441 NE Practitioner - Physical Therapist in Private Practice 3274612635 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 1299 NE Yes

Addresses

Primary practice location

119 Saddle Lane
Madison, NE 68748-6009

Mailing address

119 Saddle Lane
Madison, NE 68748-6009
Phone (402) 454-9300

Other providers in Madison, NE

All providers in Madison, NE · Physical Therapist in Nebraska

Sources for this page

Verify at the official NPI Registry.