Kenyon Michael Dehaan (NPI# 1720007768, PAC ID# 5092819979) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL THERAPY.
| Nation Provider ID (NPI) | 1720007768 |
| PAC ID by PECOS | 5092819979 |
| Professional Enrollment ID | I20180323001444 |
| Full Name | Kenyon Michael Dehaan |
| Organization Legal Name | COMMUNITY REHAB, LLC |
| Address |
10700 Sapp Brothers Dr Omaha NE 68138-3823 |
| Phone Number | 4024084281 |
| Gender | M |
| Medical School | UNIVERSITY OF IOWA COLLEGE OF MEDICINE |
| Graduation Year | 1999 |
| Primary Specialty | PHYSICAL THERAPY |
| Group Practice PAC ID | 3173428562 |
| Number of Group Practice Members | 26 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 10700 Sapp Brothers Dr, Omaha, NE 68138-3823 | 4024084281 | COMMUNITY REHAB, LLC |
| Organization Legal Name | COMMUNITY REHAB, LLC |
| Physicians | 29 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lukas Hoover Rathjen | Physical Therapy | Community Rehab, LLC | 6103 N 72nd St, Ati Physical Therapy, Omaha, NE 68134-2103 |
| Ethan Hunke | Physical Therapy | Community Rehab, LLC | 2380 8th Ave, Suite 9, Plattsmouth, NE 68048-2367 |
| Heather H Dempsey | Physical Therapy | Community Rehab, LLC | 410 E 22nd St, Ati Physical Therapy, Fremont, NE 68025-2639 |
| Elizabeth Gac | Physical Therapy | Community Rehab, LLC | 8002 S 84th St, 1 Ati Physical Therapy, La Vista, NE 68128-3307 |
| Michelle Mahler | Physical Therapy | Community Rehab, LLC | 1103 Galvin Rd S Areaa, Ati Physical Therapy, Bellevue, NE 68005-3004 |
| Chad D Doerneman | Physical Therapy | Community Rehab, LLC | 119 N 51st St, 101 Ati Physical Therapy, Omaha, NE 68132-2867 |
| Lucas J Collin | Physical Therapy | Community Rehab, LLC | 2027 Dodge St, Omaha, NE 68102-1240 |
| Jennifer Hervert | Physical Therapy | Community Rehab, LLC | 110 N 37th St, 102 Ati Physical Therapy, Norfolk, NE 68701-3283 |
| Kurtis E Keller | Physical Therapy | Community Rehab, LLC | 4110 S 144th St, Ati Physical Therapy, Omaha, NE 68137-1013 |
| Brittney Lynn Mozer | Physical Therapy | Community Rehab, LLC | 8002 S 84th St, 1 Ati Physical Therapy, La Vista, NE 68128-3307 |
| Street Address |
10700 SAPP BROTHERS DR |
| City | OMAHA |
| State | NE |
| Zip | 68138-3823 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Christy Lynn Nielsen | Physical Therapy | Community Rehab, LLC | 10700 Sapp Brothers Dr, Omaha, NE 68138-3823 |
| City | OMAHA |
| Zip Code | 68138 |
| Specialty | PHYSICAL THERAPY |
| City + Specialty | OMAHA + PHYSICAL THERAPY |
Please comment or provide details below to improve the information on Kenyon Michael Dehaan.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.