Individual provider Active NPI

Kyle B Ott, PT

  • Physical Therapist
  • Lincoln, NE
National Provider Identifier
1740173731
Registry record updated May 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
4774 Issued in NE
Practice address
2801 Pine Lake Rd Ste K
Lincoln, NE 68516-6041
Phone
(402) 436-2986
NPI assigned
May 30, 2025
Last updated
May 30, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 30, 2025

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 4774 NE Primary

Addresses

Primary practice location

2801 Pine Lake Rd Ste K
Lincoln, NE 68516-6041

Mailing address

1651 N 86TH St Ste 100
Lincoln, NE 68505-3719
Phone (402) 484-7117

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250709000583 NE Practitioner - Physical Therapist in Private Practice 6800300153 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
University of Nebraska College of Medicine, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2801 Pine Lake Rd
Suite K
Lincoln, NE 68516-6041
Phone (402) 436-2986

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4774NEMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Lincoln Orthopedic Physical Therapy PC Physical Therapist CurrentSince Jul 7, 2025 Accepting new patients
Lincoln Orthopedic Physical Therapy PC Physical Therapist CurrentSince Jul 7, 2025 Accepting new patients

Locations

1651 N 86th St
Ste 100
Lincoln, NE 68505
Phone (402) 484-7117

2801 Pine Lake Rd
Ste K
Lincoln, NE 68516
Phone (402) 436-2535

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1748563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748563200000",
    "number": "1740173731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1651 N 86TH ST STE 100",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685053719",
            "telephone_number": "402-484-7117",
            "fax_number": "402-484-7118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 PINE LAKE RD STE K",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685166041",
            "telephone_number": "402-436-2986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OTT",
        "first_name": "KYLE",
        "middle_name": "B",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-05-30",
        "last_updated": "2025-05-30",
        "certification_date": "2025-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NE",
            "license": "4774",
            "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 May 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.