Active NPI
Jeff D Denson, DPT
- Physical Therapist
- Broken Bow, NE
National Provider Identifier
1659465409
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1992
- Practice address
- 325 S 1St Ave
Broken Bow, NE 68822-2213 - Phone
- (308) 872-5111
- Fax
- (308) 872-5115
- NPI assigned
- Oct 3, 2006
- Sex
- Male
- 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 | 1992 | NE | Primary |
Addresses
Primary practice location
325 S 1St Ave
Broken Bow, NE 68822-2213
Mailing address
P.O. Box 435
Broken Bow, NE 68822-2213
Phone (308) 872-5111
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 39728 | Other | NE | BLUE CROSS BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NE
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100908000925 | NE | Practitioner - Physical Therapist in Private Practice | 3870618283 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Team Physical Therapy PC
Practice addresses (Care Compare)
325 S 1St Ave
Broken Bow, NE 68822-2213
Phone (308) 872-5111
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1992 | NE | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Team Physical Therapy, P.C. | Current | Accepting new patients | |
| Team Physical Therapy, P.C. | Physical Therapist | Current | Accepting new patients |
Locations
325 S 1st Ave
Broken Bow, NE 68822
Phone (308) 872-5111
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.
-
- Physical Therapist
- Kearney, NE
- NPI 1073854295
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1493251200000",
"number": "1659465409",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 435",
"city": "BROKEN BOW",
"state": "NE",
"postal_code": "688222213",
"telephone_number": "308-872-5111",
"fax_number": "308-872-5115"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "325 S 1ST AVE",
"city": "BROKEN BOW",
"state": "NE",
"postal_code": "688222213",
"telephone_number": "308-872-5111",
"fax_number": "308-872-5115"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DENSON",
"first_name": "JEFF",
"middle_name": "D",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-03",
"last_updated": "2017-04-27",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NE",
"license": "1992",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "39728",
"state": "NE"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Broken Bow, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2017; 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.