Individual provider Active NPI

Kelsey Kay Jaeschke

  • Physical Therapist
  • Hastings, NE
National Provider Identifier
1366943128
Registry record updated Feb 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
4448 Issued in NE
Practice address
207 S Burlington Ave
Hastings, NE 68901-5905
Phone
(402) 462-8824
Fax
(402) 462-8017
NPI assigned
Feb 26, 2018
Last updated
Feb 17, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 4448 NE Primary
Athletic Trainer 2255A2300X 1026 NE

Addresses

Primary practice location

207 S Burlington Ave
Hastings, NE 68901-5905

Mailing address

207 S Burlington Ave
Hastings, NE 68901-5905
Phone (402) 462-8824

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
1026NEMDMedical Physician Assistant

NPI Registry JSON

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

{
    "created_epoch": "1519603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676592000000",
    "number": "1366943128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 S BURLINGTON AVE",
            "city": "HASTINGS",
            "state": "NE",
            "postal_code": "689015905",
            "telephone_number": "402-462-8824",
            "fax_number": "402-462-8017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 S BURLINGTON AVE",
            "city": "HASTINGS",
            "state": "NE",
            "postal_code": "689015905",
            "telephone_number": "402-462-8824",
            "fax_number": "402-462-8017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAESCHKE",
        "first_name": "KELSEY",
        "middle_name": "KAY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-26",
        "last_updated": "2023-02-17",
        "certification_date": "2023-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NE",
            "license": "4448",
            "primary": true
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "NE",
            "license": "1026",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hastings, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.