Active NPI
Lori Jean Nelsen, PTA
- Physical Therapy Assistant
- Webster City, IA
National Provider Identifier
1023349834
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 00544
- Practice address
- 810 Bank St
Webster City, IA 50595-2106 - Phone
- (515) 576-4811
- NPI assigned
- Jan 18, 2010
- Last updated
- Jan 18, 2010
- 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 Therapy Assistant | 225200000X | 00544 | IA | Primary |
Addresses
Primary practice location
810 Bank St
Webster City, IA 50595-2106
Mailing address
439 N 19TH St
Fort Dodge, IA 50501-3507
Phone (515) 576-4811
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 |
|---|---|---|---|
| 00544 | IA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1263772800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1263772800000",
"number": "1023349834",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "439 N 19TH ST",
"city": "FORT DODGE",
"state": "IA",
"postal_code": "505013507",
"telephone_number": "515-576-4811"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "810 BANK ST",
"city": "WEBSTER CITY",
"state": "IA",
"postal_code": "505952106",
"telephone_number": "515-576-4811"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NELSEN",
"first_name": "LORI",
"middle_name": "JEAN",
"credential": "PTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-01-18",
"last_updated": "2010-01-18",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "IA",
"license": "00544",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Webster City, IA
- Lisa Michelle Mofle, M.D.
- Moriarty Dental Group, PLC
- Eleanor Lynch Moriarty, DDS
- Steven G Navarro, CRNA
- Max R Nedved, RPH
- North Central Iowa Mental Health Center Inc (UnityPoint Health-Berryhill Center)
- North Central Iowa Mental Health Center, Inc (UnityPoint Health-Berryhill Center)
- North Central Iowa Mental Health Center, Inc (Berryhill Center for Mental Health)
- Northland Hearing Centers, Inc. (Hearing Unlimited)
- Jennie S. Nuehring, ARNP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.