Mary Janovich, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

4540 Issued in NE

Practice address

2403 Towne Centre Dr Ste 300
Bellevue, NE 68123-6413

Phone

(402) 292-4000

NPI assigned

Jul 17, 2023

Last updated

Jul 17, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Bellevue Physical Therapy, LLC

  dba Bellevue Physical Therapy

  • Physical Therapy Clinic/Center
  • Bellevue, NE
  • NPI 1962740936

  Physical Therapist

  NPD

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

{
    "created_epoch": "1689552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689552000000",
    "number": "1164101283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2403 TOWNE CENTRE DR STE 300",
            "city": "BELLEVUE",
            "state": "NE",
            "postal_code": "681236413",
            "telephone_number": "402-292-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2403 TOWNE CENTRE DR STE 300",
            "city": "BELLEVUE",
            "state": "NE",
            "postal_code": "681236413",
            "telephone_number": "402-292-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JANOVICH",
        "first_name": "MARY",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-07-17",
        "last_updated": "2023-07-17",
        "certification_date": "2023-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NE",
            "license": "4540",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leigh Jahnke
• Katie Jakub
• Fe James
• Amber Lauren Jamison, PHARMD
• Hannah Janecek
• Melissa Ann Jansen
• Deborah Marie Janssen
• Nikko Jaranilla
• Renee Jeffus
• Kara Michele Jenkins

• Physical Therapist in Bellevue, NE
• Providers in Bellevue, NE by specialty
• Physical Therapist in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.