Active NPI
Koby Scott Brandenburg, DPT, PT
- Physical Therapist
- Lincoln, NE
National Provider Identifier
1922930858
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 4941
- Practice address
- 9990 S 34TH St Ste 100
Lincoln, NE 68516-6242 - Phone
- (531) 214-4927
- Fax
- (531) 249-5015
- NPI assigned
- Jun 3, 2026
- Sex
- Male
- 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 | 4941 | NE | Primary |
Addresses
Primary practice location
9990 S 34TH St Ste 100
Lincoln, NE 68516-6242
Mailing address
1651 N 86TH St Ste 100
Lincoln, NE 68505-3719
Phone (531) 214-4927
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
- Other, 2026
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1300 W Sam Houston Pkwy S
Suite 300
Houston, TX 77042-2453
1651 N 86TH St
Suite 100
Lincoln, NE 68505-3719
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4941 | NE | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1780444800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1780444800000",
"number": "1922930858",
"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": "531-214-4927",
"fax_number": "531-249-5015"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9990 S 34TH ST STE 100",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685166242",
"telephone_number": "531-214-4927",
"fax_number": "531-249-5015"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRANDENBURG",
"first_name": "KOBY",
"middle_name": "SCOTT",
"credential": "DPT, PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2026-06-03",
"last_updated": "2026-06-03",
"certification_date": "2026-06-03",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NE",
"license": "4941",
"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 Jun 3, 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.