Healthcare Provider Details

I. General information

NPI: 1104883669
Provider Name (Legal Business Name): TORI A SORENSEN PT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/28/2006
Last Update Date: 12/18/2025
Certification Date: 12/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3517 S 96TH ST
OMAHA NE
68124-3731
US

IV. Provider business mailing address

7686 WALNUT ST
OMAHA NE
68124-1717
US

V. Phone/Fax

Practice location:
  • Phone: 402-672-2506
  • Fax:
Mailing address:
  • Phone: 402-578-3146
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number2297
License Number StateNE
# 2
Primary TaxonomyN
Taxonomy Code372500000X
TaxonomyChore Provider
License Number
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: