Individual provider Active NPI

Jennifer Beran, PT

  • Physical Therapist
  • Omaha, NE
National Provider Identifier
1801820766
Registry record updated Oct 8, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1754 Issued in NE
Practice address
1313 S Saddle Creek Rd
Omaha, NE 68106-2402
Phone
(402) 933-0100
NPI assigned
Jul 10, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2009

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 1754 NE Primary

Addresses

Primary practice location

1313 S Saddle Creek Rd
Omaha, NE 68106-2402

Mailing address

1313 S Saddle Creek Rd
Omaha, NE 68106-2402
Phone (402) 933-0100

Other names 1

  • Jennifer Schneider Fowler Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050728000792 NE Practitioner - Physical Therapist in Private Practice 2365479813 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Premier Therapy Associates, PCGroup PAC ID 4284661737, 4 clinicians

Practice addresses (Care Compare)

1313 S Saddle Creek Rd
Omaha, NE 68106-2402
Phone (402) 933-0100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1754NEMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Therapy Associates, PC Physical Therapist CurrentSince Aug 1, 2005 Accepting new patients
Premier Therapy Associates, PC Past Accepting new patients

Locations

1313 S Saddle Creek Rd
Omaha, NE 68106
Phone (402) 933-0100

Organizations & group practices 2

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": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1254960000000",
    "number": "1801820766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1313 S SADDLE CREEK RD",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681062402",
            "telephone_number": "402-933-0100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1313 S SADDLE CREEK RD",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681062402",
            "telephone_number": "402-933-0100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERAN",
        "first_name": "JENNIFER",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-10",
        "last_updated": "2009-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NE",
            "license": "1754",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "SCHNEIDER FOWLER",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 8, 2009; 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.