Individual provider Active NPI

Sara Jensen, PT, DPT

  • Physical Therapist
  • Elkhorn, NE
National Provider Identifier
1235791229
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
3969 Issued in NE
Practice address
1405 N 205TH St Ste 140
Elkhorn, NE 68022-4740
Phone
(402) 289-5013
Fax
(402) 289-5018
NPI assigned
Jul 1, 2019
Last updated
Nov 27, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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 3969 NE Primary

Addresses

Primary practice location

1405 N 205TH St Ste 140
Elkhorn, NE 68022-4740

Mailing address

1405 N 205TH St Ste 140
Elkhorn, NE 68022-4740
Phone (402) 289-5013

Other identifiers 1

IdentifierTypeStateIssuer
3969OtherNESTATE OF NEBRASKA LICENSE

Other names 1

  • Sara Hohenstein Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL www.stoddenpt.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190724003925 NE Practitioner - Physical Therapist in Private Practice 9133455470 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nannen Physical Therapy and Personal TrainingGroup PAC ID 9931152402, 9 clinicians

Practice addresses (Care Compare)

636 N 20TH Ave
Blair, NE 68008-1116
Phone (402) 426-3488

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3969NEMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Nannen Physical Therapy and Personal Training Physical Therapist CurrentSince Jan 13, 2020 Accepting new patients

Locations

636 N 20th Ave
Blair, NE 68008
Phone (402) 426-3488

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1561939200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1235791229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1405 N 205TH ST STE 140",
            "city": "ELKHORN",
            "state": "NE",
            "postal_code": "680224740",
            "telephone_number": "402-289-5013",
            "fax_number": "402-289-5018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1405 N 205TH ST STE 140",
            "city": "ELKHORN",
            "state": "NE",
            "postal_code": "680224740",
            "telephone_number": "402-289-5013",
            "fax_number": "402-289-5018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENSEN",
        "first_name": "SARA",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-01",
        "last_updated": "2023-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NE",
            "license": "3969",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF NEBRASKA LICENSE",
            "identifier": "3969",
            "state": "NE"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.stoddenpt.com",
            "affiliation": "Y",
            "address_1": "1405 N 205th St Ste 140",
            "city": "Elkhorn",
            "state": "NE",
            "country_code": "US",
            "postal_code": "680224740",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "SARA",
            "last_name": "HOHENSTEIN",
            "credential": "PT, DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Elkhorn, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; 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.