Provider Demographics
NPI:1881771202
Name:JORGENSEN, KARI ANN (PT, MPT)
Entity type:Individual
Prefix:MRS
First Name:KARI
Middle Name:ANN
Last Name:JORGENSEN
Suffix:
Gender:F
Credentials:PT, MPT
Other - Prefix:MISS
Other - First Name:KARI
Other - Middle Name:ANN
Other - Last Name:WHITMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT
Mailing Address - Street 1:6825 S 27TH STREET
Mailing Address - Street 2:SUITE 103
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68512-4872
Mailing Address - Country:US
Mailing Address - Phone:402-420-0020
Mailing Address - Fax:402-420-0014
Practice Address - Street 1:6825 S 27TH STREET
Practice Address - Street 2:SUITE 103
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
Is Sole Proprietor?:No
Enumeration Date:2006-11-01
Last Update Date:2022-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE2439225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist