Individual provider Active NPI

Tessa Marie Jansen, DPT

  • Physical Therapist
  • Omaha, NE
National Provider Identifier
1801206404
Registry record updated Oct 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
3281 Issued in NE
Practice address
742 N 88TH PLZ
Omaha, NE 68114-2812
Phone
(402) 920-0556
NPI assigned
May 5, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 3, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 3281 NE Primary

Addresses

Primary practice location

742 N 88TH PLZ
Omaha, NE 68114-2812

Mailing address

742 N 88TH PLZ
Omaha, NE 68114-2812
Phone (402) 920-0556

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140519001620 NE Practitioner - Physical Therapist in Private Practice 3678796729 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rehabvisions Therapy Mo LLCGroup PAC ID 2062936586, 3 clinicians

Practice addresses (Care Compare)

11336 S 96TH St
Suite 114 Edge Physical Therapy
Papillion, NE 68046-4211
Phone (402) 315-3603

Merit-based Incentive Payment System (MIPS)

Final score
73.24 of 100Reported as group
Quality
46.48
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Leading Edge, Inc Physical Therapist CurrentSince Jan 26, 2025 Accepting new patients
Nebraska Lower Extremity Surgery Group, LLC CurrentSince Feb 11, 2014 Accepting new patients
Rehabvisions Therapy Mo LLC Physical Therapist CurrentSince Jan 26, 2025 Accepting new patients
Nebraska Lower Extremity Surgery Group, LLC Physical Therapist CurrentSince Feb 11, 2014 Accepting new patients

Locations

2705 Samson Way
Bellevue, NE 68123
Phone (402) 331-6387

1301 N 72nd St
Omaha, NE 68114
Phone (402) 393-1741

18010 R Plz
Ste 106
Omaha, NE 68135
Phone (402) 991-8999

11336 S 96th St
Ste 114
Papillion, NE 68046
Phone (402) 315-3603

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1399248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1412294400000",
    "number": "1801206404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "742 N 88TH PLZ",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681142812",
            "telephone_number": "402-920-0556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "742 N 88TH PLZ",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681142812",
            "telephone_number": "402-920-0556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JANSEN",
        "first_name": "TESSA",
        "middle_name": "MARIE",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-05-05",
        "last_updated": "2014-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NE",
            "license": "3281",
            "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 3, 2014; 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.

Verify at the official NPI Registry.