Kellen Xavier Reinsch, ATC, LAT

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

1193 Issued in NE

Practice address

1104 Grundman Blvd
Nebraska City, NE 68410-3397

Phone

(402) 873-7411

NPI assigned

Sep 22, 2023

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Nebraska City Physical Therapy, LLC

  • Physical Therapy Clinic/Center
  • Nebraska City, NE
  • NPI 1437453164
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1695340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695340800000",
    "number": "1740069491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1104 GRUNDMAN BLVD",
            "city": "NEBRASKA CITY",
            "state": "NE",
            "postal_code": "684103397",
            "telephone_number": "402-873-7411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1104 GRUNDMAN BLVD",
            "city": "NEBRASKA CITY",
            "state": "NE",
            "postal_code": "684103397",
            "telephone_number": "402-873-7411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REINSCH",
        "first_name": "KELLEN",
        "middle_name": "XAVIER",
        "credential": "ATC, LAT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-09-22",
        "last_updated": "2023-09-22",
        "certification_date": "2023-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "NE",
            "license": "1193",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Lawrence Quinn, OD
• Gary L Rademacher, MD
• Shelley Denise Ramage
• Catina Ramer
• Gloria Farina Ray, P.T.A.
• Megan Reuss
• Barbara A Rippe, RN
• Robert Moser Inc
• Sarah Roberts
• Brenda Lee Rogman

• Athletic Trainer in Nebraska City, NE
• Providers in Nebraska City, NE by specialty
• Athletic Trainer in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.