Active NPI
Raef Russell Steffen, BS, AS
- Physical Therapy Assistant
- Omaha, NE
National Provider Identifier
1740960848
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 2064
- Practice address
- 140 S 77TH St
Omaha, NE 68114-4577 - Phone
- (402) 934-4535
- NPI assigned
- Jul 24, 2023
- 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 Therapy Assistant | 225200000X | 2064 | NE | Primary |
Addresses
Primary practice location
140 S 77TH St
Omaha, NE 68114-4577
Mailing address
9429 Gertrude St
La Vista, NE 68128-4279
Phone (402) 881-6113
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
- Credentials
- Associate of Science, Bachelor of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2064 | NE | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Workfit Inc | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Clinic/Center
- Omaha, NE
- NPI 1922152073
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1690156800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1690156800000",
"number": "1740960848",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9429 GERTRUDE ST",
"city": "LA VISTA",
"state": "NE",
"postal_code": "681284279",
"telephone_number": "402-881-6113"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "140 S 77TH ST",
"city": "OMAHA",
"state": "NE",
"postal_code": "681144577",
"telephone_number": "402-934-4535"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEFFEN",
"first_name": "RAEF",
"middle_name": "RUSSELL",
"name_prefix": "Mr.",
"credential": "BS, AS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-07-24",
"last_updated": "2023-07-24",
"certification_date": "2023-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "NE",
"license": "2064",
"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 Jul 24, 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.