Active NPI
Sarah Elizabeth Kennedy, P.T.
- Pediatric Physical Therapist
- Lincoln, NE
National Provider Identifier
1619359684
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Physical Therapist
- License
- 3458
- Practice address
- 5930 Vandervoort Dr
Suite a
Lincoln, NE 68516-2391 - Phone
- (402) 420-2099
- NPI assigned
- Jun 25, 2015
- 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 |
|---|---|---|---|---|
| Pediatric Physical Therapist | 2251P0200X | 3458 | NE | Primary |
| Orthopedic Physical Therapist | 2251X0800X | 3458 | NE |
Addresses
Primary practice location
5930 Vandervoort Dr
Suite a
Lincoln, NE 68516-2391
Mailing address
5930 Vandervoort Dr
Suite a
Lincoln, NE 68516-2391
Phone (402) 420-2099
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3458 | NE | MD | Pediatric Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nebraska Pediatric Practice, Inc | Past | Accepting new patients | |
| Children'S Specialty Physician Billing | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Pediatric Nurse Practitioner
- Omaha, NE
- NPI 1013040369
-
- Pediatrics Physician
- Omaha, NE
- NPI 1144556333
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1435190400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1435190400000",
"number": "1619359684",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5930 VANDERVOORT DR",
"address_2": "SUITE A",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685162391",
"telephone_number": "402-420-2099"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5930 VANDERVOORT DR",
"address_2": "SUITE A",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685162391",
"telephone_number": "402-420-2099"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KENNEDY",
"first_name": "SARAH",
"middle_name": "ELIZABETH",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-06-25",
"last_updated": "2015-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "2251P0200X",
"taxonomy_group": "",
"desc": "Physical Therapist, Pediatrics",
"state": "NE",
"license": "3458",
"primary": true
},
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "NE",
"license": "3458",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lincoln, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.