Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Jeremiah J Johnsen, PT

Individual provider Physical Therapist · NPI 1245200492

Mr. Jeremiah J Johnsen, PT is a Physical Therapist in Private Practice in Grand Island, Nebraska. Graduated from Mayo Medical School in 2005, 21 years ago. Practices with Live Well Physical Therapy, a 10-clinician group and accepts Medicare assignment. Licensed in Nebraska.

Years since qualifying
21
Trained at
Mayo Medical School
Licensed in
NE
In the registry since
2006
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

929 S Locust St
Grand Island, NE 68801-6751
Phone: (308) 382-9700
Fax: (308) 382-9898
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 2415 (NE)

Record details

NPI number1245200492
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorNo
NPI enumeratedJanuary 23, 2006
Last updated in NPPESDecember 19, 2023
Certification dateDecember 19, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolMAYO MEDICAL SCHOOL
Graduated 2005 (21 years in practice)
Group practice Live Well Physical Therapy — 10 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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