Rogelio Dejano Jr., ROGELIO DEJANO

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1520 Issued in NE

Practice address

2319 N 163Rd St
Omaha, NE 68116-2537

Phone

(402) 213-5170

NPI assigned

Mar 2, 2011

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Rogelio Dejano Jr. Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1299024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1299024000000",
    "number": "1396043121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16962 POLK ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681353162",
            "telephone_number": "402-213-5170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2319 N 163RD ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681162537",
            "telephone_number": "402-213-5170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEJANO",
        "first_name": "ROGELIO",
        "name_suffix": "Jr.",
        "credential": "ROGELIO DEJANO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-03-02",
        "last_updated": "2011-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NE",
            "license": "1520",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ROGELIO",
            "last_name": "DEJANO",
            "suffix": "JR.",
            "credential": "ROGELIO DEJANO",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Christopher Michael Deibert, M.D., M.P.H.
• Deidrea'S Quality Care LLC
• Kevin M. Deinema, M.D.
• Morgan Seraea Deines
• Ceisha Deitering, RN
• Sara Dejano
• Kimberly Marie Dejesus
• Amalia Dejka, PLMHP
• Heather R Dejohn
• Danielle Dejong

• Physical Therapist in Omaha, NE
• Providers in Omaha, NE by specialty
• Physical Therapist in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2011; 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.