Individual provider Active NPI

Leo Donavan Delapaz, DPT

  • Physical Therapist
  • Blair, NE
National Provider Identifier
1083549968
Registry record updated Jun 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
4966 Issued in NE
Practice address
636 N 20TH Ave
Blair, NE 68008-1116
Phone
(402) 426-3488
NPI assigned
Jun 15, 2026
Last updated
Jun 15, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 4966 NE Primary

Addresses

Primary practice location

636 N 20TH Ave
Blair, NE 68008-1116

Mailing address

636 N 20TH Ave
Blair, NE 68008-1116
Phone (402) 426-3488

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Creighton University School of Medicine, 2026
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

312 S 16TH St
Apt 603
Omaha, NE 68102-2217

636 N 20TH Ave
Blair, NE 68008-1116

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Nannen Physical Therapy and Personal Training Physical Therapist CurrentSince Jun 15, 2026 Accepting new patients

Locations

636 N 20th Ave
Blair, NE 68008
Phone (402) 426-3488

515 N 14th St
Ste 102
Fort Calhoun, NE 68023
Phone (402) 426-3488

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1781481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781481600000",
    "number": "1083549968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "636 N 20TH AVE",
            "city": "BLAIR",
            "state": "NE",
            "postal_code": "680081116",
            "telephone_number": "402-426-3488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "636 N 20TH AVE",
            "city": "BLAIR",
            "state": "NE",
            "postal_code": "680081116",
            "telephone_number": "402-426-3488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELAPAZ",
        "first_name": "LEO",
        "middle_name": "DONAVAN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-06-15",
        "last_updated": "2026-06-15",
        "certification_date": "2026-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NE",
            "license": "4966",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Blair, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.