Active NPI
Kierra Rachelle Larsen, DPT
- Physical Therapist
- Omaha, NE
National Provider Identifier
1962955724
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 3629
- 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, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NE
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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.
-
- Physical Therapist
- Omaha, NE
- NPI 1548884935
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.