Organization Active NPI

Platte River Rehab Medicine P.C.

  • Physical Medicine & Rehabilitation Physician
  • North Platte, NE
National Provider Identifier
1568401982
Registry record updated Mar 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
23650 Issued in NE
Legal business name
PLATTE RIVER REHAB MEDICINE P.C.
Practice address
321 E 3Rd St
North Platte, NE 69101-4032
Phone
(308) 534-9100
Fax
(308) 534-9112
NPI assigned
Jun 5, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2022

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

Authorized official

Name
Dr. Caroline Erica Sorenson, M.D.
Title
Owner
Phone
(308) 534-9100

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208100000X 23650 NE Primary
Clinic/Center 261Q00000X

Addresses

Primary practice location

321 E 3Rd St
North Platte, NE 69101-4032

Mailing address

321 E 3Rd St
North Platte, NE 69101-4032
Phone (308) 534-9100

Other identifiers 2

IdentifierTypeStateIssuer
10025398700MedicaidNE
DF0145OtherNERAILROAD MEDICARE

National Provider Directory

National Provider Directory

Locations

601 S Dewey St
Ste 1
North Platte, NE 69101
Phone (308) 534-9100

NPI Registry JSON

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

{
    "created_epoch": "1149465600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647561600000",
    "number": "1568401982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "321 E 3RD ST",
            "city": "NORTH PLATTE",
            "state": "NE",
            "postal_code": "691014032",
            "telephone_number": "308-534-9100",
            "fax_number": "308-534-9112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 E 3RD ST",
            "city": "NORTH PLATTE",
            "state": "NE",
            "postal_code": "691014032",
            "telephone_number": "308-534-9100",
            "fax_number": "308-534-9112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLATTE RIVER REHAB MEDICINE P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-05",
        "last_updated": "2022-03-18",
        "certification_date": "2022-03-18",
        "status": "A",
        "authorized_official_last_name": "SORENSON",
        "authorized_official_first_name": "CAROLINE",
        "authorized_official_middle_name": "ERICA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "308-534-9100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NE",
            "license": "23650",
            "primary": true
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10025398700",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DF0145",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Platte, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2022; 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.