Individual provider Active NPI

Sarah Reynolds, PT

  • Physical Therapist
  • Omaha, NE
National Provider Identifier
1194556571
Registry record updated Aug 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
17055 Frances St Ste 100
Omaha, NE 68130-4655
Phone
(402) 280-3555
NPI assigned
Aug 8, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2024

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 Primary

Addresses

Primary practice location

17055 Frances St Ste 100
Omaha, NE 68130-4655

Mailing address

17055 Frances St Ste 100
Omaha, NE 68130-4655
Phone (402) 280-3555

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE, MS2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20241002002246 NE Practitioner - Physical Therapist in Private Practice 6709317670 Reassigns benefits to 1 organization
I20250818003154 MS Practitioner - Physical Therapist in Private Practice 6709317670 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Active Recovery LLCGroup PAC ID 0749522381, 8 clinicians

Practice addresses (Care Compare)

3818 Hardy St
Suite 20
Hattiesburg, MS 39402-1539
Phone (601) 602-4652

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Creighton University Physical Therapist CurrentSince Aug 1, 2024 Accepting new patients
Active Recovery LLC Physical Therapist CurrentSince Aug 18, 2025 Accepting new patients
Creighton University Past Accepting new patients

Locations

3818 Hardy St
#20
Hattiesburg, MS 39402
Phone (601) 297-1740

3006 Webster St
Omaha, NE 68131
Phone (402) 280-3555

17055 Frances St
Ste 100
Omaha, NE 68130
Phone (402) 280-3555

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1723075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723075200000",
    "number": "1194556571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17055 FRANCES ST STE 100",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681304655",
            "telephone_number": "402-280-3555",
            "fax_number": "402-280-3557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17055 FRANCES ST STE 100",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681304655",
            "telephone_number": "402-280-3555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYNOLDS",
        "first_name": "SARAH",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-08",
        "last_updated": "2024-08-08",
        "certification_date": "2024-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "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 8, 2024; 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.