Cameron Kienholz, ATC, LAT, DPT
NPI 1720993611ActiveIndividual· Physical Therapist· Blair, NE
Physical Therapist (ATC, LAT, DPT) in Blair, Nebraska, trained at Creighton University School of Medicine (class of 2026). Enrolled in Medicare as practitioner - physical therapist in private practice.
Overview
| NPI | 1720993611 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | ATC, LAT, DPT |
| Sole proprietor | No |
| NPI issued | Aug 17, 2026 |
| Last updated in NPPES | Sep 9, 2026 |
| Certified by provider | Sep 9, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | 5033 | NE |
| Specialist/Technologist, Athletic Trainer | 2255A2300X | 1345 | NE |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physical Therapist in Private Practice (NE) |
|---|
Education and affiliations
| Medical school | Creighton University School of Medicine |
|---|---|
| Graduation year | 2026 |
| Medicare specialty | Physical Therapist In Private Practice |
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