Thomas P Nelson, PT, MS

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

3871-024 Issued in WI

Practice address

215 S 2ND St Ste 10
River Falls, WI 54022-2403

Phone

(715) 426-7878

Fax

(715) 426-7852

NPI assigned

Jul 26, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

River Valley Physical Therapy IncGroup PAC ID 5092604884, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

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.

• River Valley Physical Therapy, Inc

  • Physical Therapy Clinic/Center
  • River Falls, WI
  • NPI 1225140411

  Physical Therapist

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656460800000",
    "number": "1154344240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 S 2ND ST STE 10",
            "city": "RIVER FALLS",
            "state": "WI",
            "postal_code": "540222403",
            "telephone_number": "715-426-7878",
            "fax_number": "715-426-7852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 S 2ND ST STE 10",
            "city": "RIVER FALLS",
            "state": "WI",
            "postal_code": "540222403",
            "telephone_number": "715-426-7878",
            "fax_number": "715-426-7852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "THOMAS",
        "middle_name": "P",
        "name_prefix": "Mr.",
        "credential": "PT, MS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-26",
        "last_updated": "2022-06-29",
        "certification_date": "2022-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "3871-024",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "40376600",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "3871-024",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gopakumar S Nambudiri, MD
• Christian Aage Neldeberg
• Ann Nelson, MS, CCC-SLP
• Ellie Ann Nelson
• Laura L. Nelson, REGISTERED NURSE
• Amy Christine Nemec, PT, LAT
• New Forest Counseling and Play Therapy, LLC
• Northwest Counseling and Guidance Clinic
• Anthony Frank Novak, MD
• Adelyn Oberg, PA-C

• Physical Therapist in River Falls, WI
• Providers in River Falls, WI by specialty
• Physical Therapist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2022; 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.