Individual provider Active NPI

David Nielsen

  • Physical Therapist
  • Nashua, NH
National Provider Identifier
1134210867
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
505 W Hollis St Ste 104
Nashua, NH 03062-1386
Phone
(603) 886-2710
NPI assigned
Sep 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X Primary

Addresses

Primary practice location

505 W Hollis St Ste 104
Nashua, NH 03062-1386

Mailing address

68 Circuit Dr
Stow, MA 01775-1373
Phone (978) 897-5314

Other identifiers 1

IdentifierTypeStateIssuer
3096OtherNHLICENSE #

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080922000316 MA Practitioner - Physical Therapist in Private Practice 9234181264 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Concierge Physical Therapy, Inc.Group PAC ID 1658630710, 23 clinicians

Practice addresses (Care Compare)

211 Worcester Providence Tpke
Sutton, MA 01590-2905
Phone (508) 861-1010

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Concierge Physical Therapy, Inc. CurrentSince Jun 25, 2025 Accepting new patients
Select Physical Therapy Holdings Inc Past Accepting new patients
Elmwood Orthopedic Rehab Center, Inc. Physical Therapist PastSince Nov 25, 2003 Accepting new patients

Locations

307 Grafton St
Ste 103
Shrewsbury, MA 01545
Phone (508) 841-5037

64 Worcester Providence Tpke
Sutton, MA 01590
Phone (508) 861-1010

211 Worcester Providence Tpke
Sutton, MA 01590
Phone (508) 861-1010

211 Worcester Providence Tpke
#T
Sutton, MA 01590

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1134210867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "68 CIRCUIT DR",
            "city": "STOW",
            "state": "MA",
            "postal_code": "017751373",
            "telephone_number": "978-897-5314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 W HOLLIS ST STE 104",
            "city": "NASHUA",
            "state": "NH",
            "postal_code": "030621386",
            "telephone_number": "603-886-2710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIELSEN",
        "first_name": "DAVID",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE #",
            "identifier": "3096",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashua, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.