Jeremiah J. Johnsen, PT
NPI 1245200492ActiveIndividual· Physical Therapist· Grand Island, NE
Physical Therapist (PT) in Grand Island, Nebraska, trained at Mayo Medical School (class of 2005). Medicare paid $48,521 for services to 93 patients in 2024.
Overview
| NPI | 1245200492 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PT |
| Sole proprietor | No |
| NPI issued | Jan 23, 2006 |
| Last updated in NPPES | Dec 19, 2023 |
| Certified by provider | Dec 19, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | 2415 | NE |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physical Therapist in Private Practice (NE) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 93 |
|---|---|
| Services billed | 2,571 across 12 procedure codes |
| Paid by Medicare | $48,521 |
Education and affiliations
| Medical school | Mayo Medical School |
|---|---|
| Graduation year | 2005 |
| Medicare specialty | Physical Therapist In Private Practice |
Medical group
- Live Well Physical TherapyGrand Island, NE · 9 clinicians
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