Active NPI
Donette L Vis, MPT
- Physical Therapist
- Columbus, NE
National Provider Identifier
1255533030
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1252
- Practice address
- 3005 19TH St Ste 600
Columbus, NE 68601-4248 - Phone
- (402) 562-3300
- NPI assigned
- Jun 4, 2007
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1252 | NE | Primary |
Addresses
Primary practice location
3005 19TH St Ste 600
Columbus, NE 68601-4248
Mailing address
3420 34TH St
Columbus, NE 68601-1420
Phone (402) 910-8189
Other names 1
- Donette L Brase
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 |
|---|---|---|---|
| 1252 | NE | MD | Dental Hygienist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180915200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1605225600000",
"number": "1255533030",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3420 34TH ST",
"city": "COLUMBUS",
"state": "NE",
"postal_code": "686011420",
"telephone_number": "402-910-8189"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3005 19TH ST STE 600",
"city": "COLUMBUS",
"state": "NE",
"postal_code": "686014248",
"telephone_number": "402-562-3300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VIS",
"first_name": "DONETTE",
"middle_name": "L",
"credential": "MPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-06-04",
"last_updated": "2020-11-13",
"certification_date": "2020-11-13",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NE",
"license": "1252",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "DONETTE",
"last_name": "BRASE",
"middle_name": "L",
"credential": "MPT",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Columbus, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.