Individual provider Active NPI

Edsen Donato, PT, DSC, OCS, CHT

  • Physical Therapist
  • Lincoln, NE
National Provider Identifier
1528044211
Registry record updated Feb 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
4577 Issued in NE
Practice address
3800 S 48TH St
Lincoln, NE 68506-4345
Phone
(402) 486-2528
Fax
(402) 486-2578
NPI assigned
Dec 15, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Hand Physical Therapist 2251H1200X
Orthopedic Physical Therapist 2251X0800X
Physical Therapist 225100000X 4577 NE Primary

Addresses

Primary practice location

3800 S 48TH St
Lincoln, NE 68506-4345

Mailing address

3800 S 48TH St
Lincoln, NE 68506-4345
Phone (402) 486-2528

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
4577NEMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Union College Dba Union Physical Therapy Physical Therapist CurrentSince Feb 2, 2025 Accepting new patients
Donato and Wood Consulting, Inc Physical Therapist Past Accepting new patients

Locations

3800 S 48th St
Lincoln, NE 68506
Phone (402) 486-2528

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1134604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738800000000",
    "number": "1528044211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3800 S 48TH ST",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685064345",
            "telephone_number": "402-486-2528",
            "fax_number": "402-486-2578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3800 S 48TH ST",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685064345",
            "telephone_number": "402-486-2528",
            "fax_number": "402-486-2578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DONATO",
        "first_name": "EDSEN",
        "credential": "PT, DSC, OCS, CHT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-15",
        "last_updated": "2025-02-06",
        "certification_date": "2025-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251H1200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Hand",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NE",
            "license": "4577",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.