Drew Nielson, DPT
Individual provider Active NPI Physical Therapist · Delta, UT
NPI 1043062417 · NPPES record last updated Dec 9, 2025
Key facts
- NPI
- 1043062417
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 11617442-2401 (UT)
- Practice address
- 95 White Sage Ave
Delta, UT 84624-5555 - Phone
- (435) 864-2551
- NPI assigned
- Apr 1, 2024
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2025
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Mountain Land Rehabilitation LLC
Practice addresses (Care Compare)
95 White Sage Ave
Delta, UT 84624-5555
Phone (435) 864-2551
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in UT
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20251217003953 | UT | Practitioner - Physical Therapist in Private Practice | 1456846492 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11617442-2401 | UT | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mountain Land Rehabilitation LLC | Physical Therapist | Current |
Accepting new patients |
Locations
95 White Sage Ave
Delta, UT 84624
Phone (435) 864-2551
4179 S Riverboat Rd
Ste 110
Taylorsville, UT 84123
Phone (801) 337-4475
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 11617442-2401 | UT | Yes |
Addresses
Primary practice location
95 White Sage Ave
Delta, UT 84624-5555
Mailing address
95 White Sage Ave
Delta, UT 84624-5555
Other providers in Delta, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 9, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.