Shannon Marie Sorensen, DPT
Individual provider Active NPI Physical Therapist · Ainsworth, NE
NPI 1508082371 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1508082371
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 2449 (NE)
- Practice address
- 945 E Zero St
Ainsworth, NE 69210-1556 - Phone
- (402) 387-2800
- Fax
- (402) 387-2804
- NPI assigned
- Apr 18, 2007
- 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)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2449 | NE | MD | Massage Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 2449 | NE | Yes |
Addresses
Primary practice location
945 E Zero St
Ainsworth, NE 69210-1556
Mailing address
752 N Oak St
Ainsworth, NE 69210-1141
Phone (402) 387-2800
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- David S Spann
- Scott R Steinhauser
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All providers in Ainsworth, NE · Physical Therapist in Nebraska
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. 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.