Individual provider Active NPI

Kelsey L Deertz, DPT

  • Physical Therapist
  • Omaha, NE
National Provider Identifier
1609355999
Registry record updated May 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
093245 Issued in IA
Practice address
9449 J St
Omaha, NE 68127
Phone
(402) 593-7345
Fax
(402) 593-0882
NPI assigned
Aug 8, 2018
Last updated
May 24, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 24, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 093245 IA Primary

Addresses

Primary practice location

9449 J St
Omaha, NE 68127

Mailing address

15426 Bemis Cir
Omaha, NE 68154-3747
Phone (402) 319-9031

Other practice location 1

301 W Broadway Ste 100
Council Bluffs, IA 51503-9071
Phone (712) 322-9688

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180821002411 NE Practitioner - Physical Therapist in Private Practice 3476802638 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rehabvisions Therapy NE LLCGroup PAC ID 8224378617, 20 clinicians
Key Rehabilitation IncGroup PAC ID 9638086432, 59 clinicians

Practice addresses (Care Compare)

11623 Arbor St
Omaha, NE 68144-2981
Phone (402) 334-1919

801 N Adams St
Papillion, NE 68046-4310
Phone (888) 362-8704

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Rehabvisions Therapy NE, LLC Physical Therapist CurrentSince May 1, 2024 Accepting new patients
Key Rehabilitation, Inc CurrentSince Aug 1, 2025 Accepting new patients
Rehabvisions Therapy NE, LLC Physical Therapist CurrentSince May 1, 2024 Accepting new patients
Key Rehabilitation Inc CurrentSince Aug 1, 2025 Accepting new patients
Athletico LTD Physical Therapist Past Accepting new patients

Locations

11623 Arbor St
Omaha, NE 68144
Phone (402) 334-1919

801 N Adams St
Papillion, NE 68046
Phone (402) 339-1775

1335 NW Broad St
Murfreesboro, TN 37129
Phone (615) 983-0240

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1533686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716508800000",
    "number": "1609355999",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15426 BEMIS CIR",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681543747",
            "telephone_number": "402-319-9031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9449 J ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "68127",
            "telephone_number": "402-593-7345",
            "fax_number": "402-593-0882"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "301 W Broadway Ste 100",
            "address_purpose": "LOCATION",
            "city": "Council Bluffs",
            "state": "IA",
            "postal_code": "515039071",
            "country_code": "US",
            "telephone_number": "712-322-9688",
            "fax_number": "712-322-1299",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEERTZ",
        "first_name": "KELSEY",
        "middle_name": "L",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-08",
        "last_updated": "2024-05-24",
        "certification_date": "2024-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IA",
            "license": "093245",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.