Cory D Nielson, DPT
Individual provider Active NPI Physical Therapist · Columbus Junction, IA
NPI 1043835218 · NPPES record last updated Jun 12, 2020
Key facts
- NPI
- 1043835218
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 100469 (IA)
- Practice address
- 104 Main St
Columbus Junction, IA 52738-1028 - Phone
- (319) 728-4441
- NPI assigned
- Jun 12, 2020
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 100469 | IA | Yes |
Addresses
Primary practice location
104 Main St
Columbus Junction, IA 52738-1028
Mailing address
850 43Rd Ave Ste 100
Moline, IL 61265-8401
Phone (309) 743-2070
Other providers in Columbus Junction, IA
- Thomas Richard Gantenbein
- Hy-Vee Inc
- Brian D Masonholder
- Mercy Services Iowa City, Inc.
- Michael Ted Morrison
- Kenan Todd
- Town of Columbus JCT.
- Washington County Hospital
- Danielle Kristine Woepking
All providers in Columbus Junction, IA · Physical Therapist in Iowa
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 12, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.