Individual provider Active NPI

Nicholas Scott Walter, DPT

  • Physical Therapist
  • Bellevue, NE
National Provider Identifier
1649104530
Registry record updated Jun 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
4957 Issued in NE
Practice address
11511 S 42ND St Ste 106
Bellevue, NE 68123-1089
Phone
(402) 502-4678
Fax
(402) 933-9137
NPI assigned
Jun 9, 2026
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 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 4957 NE Primary

Addresses

Primary practice location

11511 S 42ND St Ste 106
Bellevue, NE 68123-1089

Mailing address

2929 California PLZ Apt 2360
Omaha, NE 68131-1547
Phone (402) 502-4678

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)

11511 S 42ND St
Suite 106
Bellevue, NE 68123-1089

2929 California PLZ Apt
Suite 2360
Omaha, NE 68131-1547

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Achieve PC Physical Therapist CurrentSince Jul 7, 2026 Accepting new patients

Locations

11511 S 42nd St
Ste 106
Bellevue, NE 68123
Phone (402) 502-4678

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1780963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780963200000",
    "number": "1649104530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2929 CALIFORNIA PLZ APT 2360",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681311547",
            "telephone_number": "402-502-4678",
            "fax_number": "402-933-9137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11511 S 42ND ST STE 106",
            "city": "BELLEVUE",
            "state": "NE",
            "postal_code": "681231089",
            "telephone_number": "402-502-4678",
            "fax_number": "402-933-9137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALTER",
        "first_name": "NICHOLAS",
        "middle_name": "SCOTT",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-06-09",
        "last_updated": "2026-06-09",
        "certification_date": "2026-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NE",
            "license": "4957",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellevue, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 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.