Active NPI
Kassandra L Kerschen, PT
- Physical Therapist
- Papillion, NE
National Provider Identifier
1497040992
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2991
- Practice address
- 1226 N Washington St
Suite 1
Papillion, NE 68046-3064 - Phone
- (402) 593-1734
- NPI assigned
- Jun 13, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 2991 | NE | Primary |
| Physical Therapist | 225100000X | 004782 | IA |
Addresses
Primary practice location
1226 N Washington St
Suite 1
Papillion, NE 68046-3064
Mailing address
2403 S 133Rd PLZ
Omaha, NE 68144-5905
Phone (402) 330-8433
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)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Excel Rehabilitation Inc | Physical Therapist | Past | Accepting new patients |
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1307923200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1307923200000",
"number": "1497040992",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2403 S 133RD PLZ",
"city": "OMAHA",
"state": "NE",
"postal_code": "681445905",
"telephone_number": "402-330-8433",
"fax_number": "402-330-8616"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1226 N WASHINGTON ST",
"address_2": "SUITE 1",
"city": "PAPILLION",
"state": "NE",
"postal_code": "680463064",
"telephone_number": "402-593-1734"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KERSCHEN",
"first_name": "KASSANDRA",
"middle_name": "L",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-06-13",
"last_updated": "2011-06-13",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NE",
"license": "2991",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IA",
"license": "004782",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Papillion, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 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.