Jada Exstrom, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

3148 Issued in NE

Practice address

3818 Normal Blvd
Lincoln, NE 68506-5240

Phone

(402) 488-4282

Fax

(402) 488-6157

NPI assigned

Nov 3, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Exstrom Physical Therapy Inc

  • Physical Therapist
  • Lincoln, NE
  • NPI 1386776078
  NPD (past)
• Nebraska City Physical Therapy, LLC

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

  Physical Therapist

  NPD (past)
• Healthpro Heritage at Home LLC

  • Home Health Agency
  • Longmeadow, MA
  • NPI 1790156750
  NPD (past)

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

{
    "created_epoch": "1383436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1388966400000",
    "number": "1780013490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6170 FRANCISCAN DR",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685266006",
            "telephone_number": "402-430-3655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3818 NORMAL BLVD",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685065240",
            "telephone_number": "402-488-4282",
            "fax_number": "402-488-6157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EXSTROM",
        "first_name": "JADA",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-11-03",
        "last_updated": "2014-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "9854",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NE",
            "license": "3148",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Excel Chiropractic and Wellness P.C.
• Exhale Behavioral Health LLC
• Express Life Chiropractic LLC
• Denise Anne Exstrom Larsen, PT
• Exstrom Physical Therapy Inc
• Extendcare the Pharmacy Inc
• Extended Families of Nebraska, LLC
• Lynette Denea Exum, MD
• Eye Surgical Associates, LLC
• Eyecare Associates, P.C.

• Physical Therapist in Lincoln, NE
• Providers in Lincoln, NE by specialty
• Physical Therapist in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2014; 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.