Individual provider Active NPI

Kierra Rachelle Larsen, DPT

  • Physical Therapist
  • Omaha, NE
National Provider Identifier
1962955724
Registry record updated Jul 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
3629 Issued in NE
Practice address
2510 S 140TH St
Omaha, NE 68144-2339
Phone
(402) 618-3320
Fax
(402) 913-3102
NPI assigned
Jul 28, 2016
Last updated
Jul 8, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 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 3629 NE Primary

Addresses

Primary practice location

2510 S 140TH St
Omaha, NE 68144-2339

Mailing address

2510 S 140TH St
Omaha, NE 68144-2339
Phone (402) 618-3320

Other practice location 1

15514 Spaulding Plz Ste D06
Omaha, NE 68116-6287
Phone (402) 261-2883

Other practice location 2

1405 N 205th St
Suite 140
Elkhorn, NE 68022-4740
Phone (402) 289-5013

Other names 1

  • Miss Kierra Rachelle Ochs Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160914002440 NE Practitioner - Physical Therapist in Private Practice 1658667837

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1469664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720396800000",
    "number": "1962955724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2510 S 140TH ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681442339",
            "telephone_number": "402-618-3320",
            "fax_number": "402-913-3102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2510 S 140TH ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681442339",
            "telephone_number": "402-618-3320",
            "fax_number": "402-913-3102"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15514 Spaulding Plz Ste D06",
            "address_purpose": "LOCATION",
            "city": "Omaha",
            "state": "NE",
            "postal_code": "681166287",
            "country_code": "US",
            "telephone_number": "402-261-2883",
            "fax_number": "402-913-3102",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1405 N 205th St",
            "address_2": "Suite 140",
            "address_purpose": "LOCATION",
            "city": "Elkhorn",
            "state": "NE",
            "postal_code": "680224740",
            "country_code": "US",
            "telephone_number": "402-289-5013",
            "fax_number": "402-289-5018",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LARSEN",
        "first_name": "KIERRA",
        "middle_name": "RACHELLE",
        "name_prefix": "Mrs.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-28",
        "last_updated": "2024-07-08",
        "certification_date": "2024-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NE",
            "license": "3629",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIERRA",
            "last_name": "OCHS",
            "middle_name": "RACHELLE",
            "prefix": "MISS",
            "credential": "DPT",
            "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 Jul 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.