Provider Demographics
NPI:1700931771
Name:J & WHIT LLC
Entity Type:Organization
Organization Name:J & WHIT LLC
Other - Org Name:JORGENSEN PT GROUP
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHYSICAL THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:KARI
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:JORGENSEN
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:402-202-6671
Mailing Address - Street 1:3800 W SPRINGVIEW RD
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68522-8746
Mailing Address - Country:US
Mailing Address - Phone:402-202-6671
Mailing Address - Fax:
Practice Address - Street 1:6825 S 27TH ST STE 103
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68512-4872
Practice Address - Country:US
Practice Address - Phone:402-420-0020
Practice Address - Fax:402-420-0014
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-23
Last Update Date:2022-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE2438261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy