Jenna Michael Bahney
Individual provider Active NPI Physical Therapist · Omaha, NE
NPI 1346893583 · NPPES record last updated Jul 17, 2019
Key facts
- NPI
- 1346893583
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 3759 (NE)
- Practice address
- 6809 N 68TH PLZ
Omaha, NE 68152-2117 - Phone
- (402) 572-2134
- NPI assigned
- Jul 17, 2019
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3759 | NE | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 3759 | NE | Yes |
Addresses
Primary practice location
6809 N 68TH PLZ
Omaha, NE 68152-2117
Mailing address
6809 N 68TH PLZ
Omaha, NE 68152-2117
Phone (402) 572-2134
Other providers in Omaha, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 17, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.