IndividualActive
Immanuel Dangerfield, DPT
NPI 1629957485 · Physical Therapist · Elkhorn, NE
Provider details
- NPI number
- 1629957485
- Entity type
- Individual
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- DPT
- Sex
- Male
- Sole proprietor
- Yes
- License
- 308466 (CA)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Established profile(58/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
18881 W Dodge Rd Ste 300w
Elkhorn, NE 68022-4648
Phone: (877) 230-3885
Approximate (ZIP-level) locationGet directions
Mailing address
8438 Alberton Pl
Elk Grove, CA 95624-4071
Additional practice locations (1)
- 690 Industrial RdSan Carlos, CA 94070-3318Phone: (650) 592-6682
Registry dates
- Enumerated
- 2025-08-27
- Last updated
- 2025-08-27
- Certified
- 2025-08-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.