Active NPI
Solita M Belandres, RPT
- Physical Therapist
- Omaha, NE
National Provider Identifier
1801174628
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1229
- Practice address
- 3110 Scott Cir
Omaha, NE 68112-2604 - Phone
- (402) 203-6112
- Fax
- (402) 932-1888
- NPI assigned
- Jul 27, 2011
- 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 | 1229 | NE | Primary |
Addresses
Primary practice location
3110 Scott Cir
Omaha, NE 68112-2604
Mailing address
7922 Shadow Lake Dr
Papillion, NE 68046-4602
Phone (402) 319-6691
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 |
|---|---|---|---|
| 1229 | NE | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1311724800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1311724800000",
"number": "1801174628",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7922 SHADOW LAKE DR",
"city": "PAPILLION",
"state": "NE",
"postal_code": "680464602",
"telephone_number": "402-319-6691",
"fax_number": "402-932-1888"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3110 SCOTT CIR",
"city": "OMAHA",
"state": "NE",
"postal_code": "681122604",
"telephone_number": "402-203-6112",
"fax_number": "402-932-1888"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BELANDRES",
"first_name": "SOLITA",
"middle_name": "M",
"credential": "RPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-07-27",
"last_updated": "2011-07-27",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NE",
"license": "1229",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Omaha, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.