Active NPI
Kelsey L Deertz, DPT
- Physical Therapist
- Omaha, NE
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 093245
- 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, 2024
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rehabvisions Therapy NE, LLC | Physical Therapist | Current | Accepting new patients |
| Key Rehabilitation, Inc | Current | Accepting new patients | |
| Rehabvisions Therapy NE, LLC | Physical Therapist | Current | Accepting new patients |
| Key Rehabilitation Inc | Current | 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.
-
- Rehabilitation Hospital Unit
- Grand Island, NE
- NPI 1902923014
-
- Physical Therapist
- Omaha, NE
- NPI 1407477524
-
dba GeroPsych, a division of Key Rehabilitation, Inc
- Clinical Psychologist
- Fargo, ND
- NPI 1679328975
-
dba Athletico Physical Therapy
- Clinic/Center
- Des Moines, IA
- NPI 1871900985
Physical Therapist
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.