Individual provider Active NPI

Steven Loren Lorenzen, RPT

  • Physical Therapist
  • Omaha, NE
National Provider Identifier
1891986352
Registry record updated Aug 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
0649 Issued in NE
Practice address
16166 Davenport St
Omaha, NE 68118-4046
Phone
(402) 333-9844
NPI assigned
Aug 8, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2007

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 0649 NE Primary

Addresses

Primary practice location

16166 Davenport St
Omaha, NE 68118-4046

Mailing address

16166 Davenport St
Omaha, NE 68118-4046
Phone (402) 333-9844

Other identifiers 1

IdentifierTypeStateIssuer
0649OtherNERPT

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

State licenses

LicenseStateTypeSpecialty
0649NEMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1186531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1186531200000",
    "number": "1891986352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16166 DAVENPORT ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681184046",
            "telephone_number": "402-333-9844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16166 DAVENPORT ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681184046",
            "telephone_number": "402-333-9844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LORENZEN",
        "first_name": "STEVEN",
        "middle_name": "LOREN",
        "name_prefix": "Mr.",
        "credential": "RPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-08",
        "last_updated": "2007-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NE",
            "license": "0649",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RPT",
            "identifier": "0649",
            "state": "NE"
        }
    ],
    "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 Aug 8, 2007; 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.