Active NPI
Brandee M Walton, PT
- Pediatric Physical Therapist
- Omaha, NE
National Provider Identifier
1174856926
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Physical Therapist
- License
- 1477
- Practice address
- 8200 Dodge St
Children'S Hospital & Medical Center - Rehab Services
Omaha, NE 68114-4113 - Phone
- (402) 955-3980
- Fax
- (402) 955-5368
- NPI assigned
- Sep 11, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Physical Therapist | 2251P0200X | 1477 | NE | Primary |
Addresses
Primary practice location
8200 Dodge St
Children'S Hospital & Medical Center - Rehab Services
Omaha, NE 68114-4113
Mailing address
8200 Dodge St
Children'S Hospital & Medical Center
Omaha, NE 68114-4113
Phone (402) 955-5400
Other names 1
- Ms. Brandee M Otto
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Childrensomaha.org | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1477 | NE | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1252627200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1657584000000",
"number": "1174856926",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8200 DODGE ST",
"address_2": "CHILDREN'S HOSPITAL & MEDICAL CENTER",
"city": "OMAHA",
"state": "NE",
"postal_code": "681144113",
"telephone_number": "402-955-5400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8200 DODGE ST",
"address_2": "CHILDREN'S HOSPITAL & MEDICAL CENTER - REHAB SERVICES",
"city": "OMAHA",
"state": "NE",
"postal_code": "681144113",
"telephone_number": "402-955-3980",
"fax_number": "402-955-5368"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALTON",
"first_name": "BRANDEE",
"middle_name": "M",
"name_prefix": "Mrs.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-09-11",
"last_updated": "2022-07-12",
"certification_date": "2022-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2251P0200X",
"taxonomy_group": "",
"desc": "Physical Therapist, Pediatrics",
"state": "NE",
"license": "1477",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Childrensomaha.org",
"affiliation": "N",
"endpointDescription": "Hospital website",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "8200 Dodge St",
"address_2": "Children's Hospital & Medical Center - Rehab Services",
"city": "Omaha",
"state": "NE",
"country_code": "US",
"postal_code": "681144113",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "BRANDEE",
"last_name": "OTTO",
"middle_name": "M",
"prefix": "MS.",
"credential": "PT",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Omaha, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.