Active NPI
Jenna E Iberle, DPT
- Physical Therapist
- Omaha, NE
National Provider Identifier
1730638875
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 3743
- Practice address
- 17055 Frances St Ste 100
Omaha, NE 68130-4655 - Phone
- (402) 280-3555
- Fax
- (402) 280-3557
- NPI assigned
- Sep 30, 2016
- 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 | 3743 | NE | Primary |
Addresses
Primary practice location
17055 Frances St Ste 100
Omaha, NE 68130-4655
Mailing address
17055 Frances St Ste 100
Omaha, NE 68130-4655
Phone (402) 280-3555
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1475193600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1571270400000",
"number": "1730638875",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17055 FRANCES ST STE 100",
"city": "OMAHA",
"state": "NE",
"postal_code": "681304655",
"telephone_number": "402-280-3555",
"fax_number": "402-280-3557"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17055 FRANCES ST STE 100",
"city": "OMAHA",
"state": "NE",
"postal_code": "681304655",
"telephone_number": "402-280-3555",
"fax_number": "402-280-3557"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IBERLE",
"first_name": "JENNA",
"middle_name": "E",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-09-30",
"last_updated": "2019-10-17",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NE",
"license": "3743",
"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 Oct 17, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.