Active NPI
Baily Deitchler
- Physical Therapist
- Papillion, NE
National Provider Identifier
1699523787
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 4611
- Practice address
- 10601 S 72ND St Ste 103
Papillion, NE 68046-3408 - Phone
- (402) 932-2705
- NPI assigned
- May 13, 2024
- 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 | 4611 | NE | Primary |
Addresses
Primary practice location
10601 S 72ND St Ste 103
Papillion, NE 68046-3408
Mailing address
10601 S 72ND St Ste 103
Papillion, NE 68046-3408
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 |
|---|---|---|---|
| 4611 | NE | MD | Pharmacy Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pediatric Therapy Center | Past | Accepting new patients |
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.
-
- Pediatric Occupational Therapist
- Papillion, NE
- NPI 1396915427
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1715558400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1762992000000",
"number": "1699523787",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10601 S 72ND ST STE 103",
"city": "PAPILLION",
"state": "NE",
"postal_code": "680463408"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10601 S 72ND ST STE 103",
"city": "PAPILLION",
"state": "NE",
"postal_code": "680463408",
"telephone_number": "402-932-2705"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEITCHLER",
"first_name": "BAILY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-05-13",
"last_updated": "2025-11-13",
"certification_date": "2025-11-13",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NE",
"license": "4611",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Papillion, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 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.