Active NPI
Jenna Johnson, PT, DPT
- Physical Therapist
- Omaha, NE
National Provider Identifier
1184517351
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 4779
- Practice address
- 5321 S 138TH St
Omaha, NE 68137-2913 - Phone
- (402) 895-4000
- Fax
- (402) 895-1607
- NPI assigned
- May 29, 2025
- 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 | 4779 | NE | Primary |
Addresses
Primary practice location
5321 S 138TH St
Omaha, NE 68137-2913
Mailing address
706 Rosewood Ave
Papillion, NE 68133-4416
Phone (402) 520-1199
Other practice location 1
2010 N 88th St
Omaha, NE 68134-6102
Phone (402) 496-1000
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4779 | NE | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1748476800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757116800000",
"number": "1184517351",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "706 ROSEWOOD AVE",
"city": "PAPILLION",
"state": "NE",
"postal_code": "681334416",
"telephone_number": "402-520-1199"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5321 S 138TH ST",
"city": "OMAHA",
"state": "NE",
"postal_code": "681372913",
"telephone_number": "402-895-4000",
"fax_number": "402-895-1607"
}
],
"practiceLocations": [
{
"address_1": "2010 N 88th St",
"address_purpose": "LOCATION",
"city": "Omaha",
"state": "NE",
"postal_code": "681346102",
"country_code": "US",
"telephone_number": "402-496-1000",
"fax_number": "402-496-4209",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JOHNSON",
"first_name": "JENNA",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-05-29",
"last_updated": "2025-09-06",
"certification_date": "2025-09-06",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NE",
"license": "4779",
"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 Sep 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.