Jennifer M Bruursema, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2964 Issued in NE

Practice address

18101 R Plaza
Suite 106
Omaha, NE 68135-1929

Phone

(402) 933-8333

Fax

(402) 933-4755

NPI assigned

Apr 22, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Jennifer M Bognich Former name

Medicare fee-for-service enrollment

Enrolled in NE

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Innovate Rehab and Wellness LLCGroup PAC ID 5991054645, 11 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Innovate Rehab and Wellness LLC

  dba Hillcrest Rehab Services

  • Physical Therapy Clinic/Center
  • Bellevue, NE
  • NPI 1588179923

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Procare3, Inc.

  dba Fyzical Therapy and Balance Centers

  • Rehabilitation Practitioner
  • Omaha, NE
  • NPI 1942266945
  NPD (past)

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

{
    "created_epoch": "1303430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463961600000",
    "number": "1922399187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18101 R PLAZA",
            "address_2": "SUITE 106",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681351929",
            "telephone_number": "402-933-8333",
            "fax_number": "402-933-4755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18101 R PLAZA",
            "address_2": "SUITE 106",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681351929",
            "telephone_number": "402-933-8333",
            "fax_number": "402-933-4755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUURSEMA",
        "first_name": "JENNIFER",
        "middle_name": "M",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-04-22",
        "last_updated": "2016-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NE",
            "license": "2964",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10025395000",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "BOGNICH",
            "middle_name": "M",
            "credential": "DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Whitney Brunswick
• Azariah Brunz
• Michelle Renee Brushel
• Melissa Kay Brusnahan, ATC
• Jessica Brutsche
• Bryan D Bredthauer MD PC
• Haras M Bryan
• Julie Alexandre Bryan, MS, OTR/L
• Samantha J Bryan
• Saundra Bryan

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2016; 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.