Individual provider Active NPI

Sabre Jean Menninga

  • Physical Therapist
  • Pawnee City, NE
National Provider Identifier
1629609045
Registry record updated Jun 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
CP056297T Issued in NE
Practice address
600 I St
Pawnee City, NE 68420-3001
Phone
(402) 852-2231
NPI assigned
Feb 4, 2020
Reactivated
Nov 1, 2024
Last updated
Jun 22, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 22, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X CP056297T NE Primary
Physical Therapist 225100000X 11-07747 KS

Addresses

Primary practice location

600 I St
Pawnee City, NE 68420-3001

Mailing address

61299 705TH Rd
Burchard, NE 68323-4039

Other identifiers 1

IdentifierTypeStateIssuer
937262940572OtherBLUE CROSS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241112001582 KS Practitioner - Physical Therapist in Private Practice 8729512884 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
University of Kansas School of Med (KC/Wich/Sal), 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Marquette Physical Therapy, P.a.Group PAC ID 2961403498, 9 clinicians

Practice addresses (Care Compare)

13420 Briar Dr
Suite C
Leawood, KS 66209-3434
Phone (913) 484-7632

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Marquette Physical Therapy, P.a. Physical Therapist CurrentSince Nov 1, 2024 Accepting new patients

Locations

33255 Lexington Ave
Ste A
De Soto, KS 66018
Phone (913) 484-7632

13420 Briar Dr
Ste C
Leawood, KS 66209
Phone (913) 484-7632

Organizations & group practices 1

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": "1580774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782086400000",
    "number": "1629609045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "61299 705TH RD",
            "city": "BURCHARD",
            "state": "NE",
            "postal_code": "683234039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 I ST",
            "city": "PAWNEE CITY",
            "state": "NE",
            "postal_code": "684203001",
            "telephone_number": "402-852-2231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENNINGA",
        "first_name": "SABRE",
        "middle_name": "JEAN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-02-04",
        "last_updated": "2026-06-22",
        "certification_date": "2026-06-22",
        "deactivation_date": "2020-02-04",
        "reactivation_date": "2024-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NE",
            "license": "CP056297T",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KS",
            "license": "11-07747",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "937262940572",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pawnee City, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2026; 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.