Individual provider Active NPI

Jennifer Marie Kanter, DPT

  • Physical Therapist
  • Omaha, NE
National Provider Identifier
1821817842
Registry record updated Oct 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
3002 Issued in NE
Practice address
8214 F St Ste C
Omaha, NE 68127-1740
Phone
(402) 331-2273
Fax
(402) 933-4255
NPI assigned
Oct 7, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2024

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 3002 NE Primary

Addresses

Primary practice location

8214 F St Ste C
Omaha, NE 68127-1740

Mailing address

258 S Main St Ste 210
Logan, UT 84321-5768
Phone (435) 363-9120

Other names 1

  • Jennifer Guistra, Suelter Former name

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
3002NEMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1728259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728259200000",
    "number": "1821817842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "258 S MAIN ST STE 210",
            "city": "LOGAN",
            "state": "UT",
            "postal_code": "843215768",
            "telephone_number": "435-363-9120",
            "fax_number": "435-557-8003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8214 F ST STE C",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681271740",
            "telephone_number": "402-331-2273",
            "fax_number": "402-933-4255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANTER",
        "first_name": "JENNIFER",
        "middle_name": "MARIE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-07",
        "last_updated": "2024-10-07",
        "certification_date": "2024-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NE",
            "license": "3002",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "GUISTRA, SUELTER",
            "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 7, 2024; 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.