Tegan Leigh Nelson, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT35708 Issued in FL

Practice address

2531 Cleveland Ave Ste 100
Fort Myers, FL 33901-4900

Phone

(239) 334-7000

Fax

(239) 334-7070

NPI assigned

Nov 17, 2008

Last updated

Mar 14, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Networks

• Freedom Health HMO Network

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

• Dynamic Mobile Rehab LLC

  • Physical Therapist
  • Fort Myers, FL
  • NPI 1356086961
  NPD
• Elite Physical Therapy of Southwest Florida Inc

  • Physical Therapy Clinic/Center
  • Naples, FL
  • NPI 1063687416

  Physical Therapist

  NPD
• Orthopedic Specialists of SW Florida, P.a.

  • Orthopaedic Surgery Physician
  • Fort Myers, FL
  • NPI 1770410433

  Physical Therapist

  NPD (past)
• Infinite Health Collaborative, PA

  • Durable Medical Equipment & Medical Supplies
  • River Falls, WI
  • NPI 1144608589
  NPD (past)

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

{
    "created_epoch": "1226880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647216000000",
    "number": "1194970251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2531 CLEVELAND AVE STE 100",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339014900",
            "telephone_number": "239-334-7000",
            "fax_number": "239-334-7070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2531 CLEVELAND AVE STE 100",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339014900",
            "telephone_number": "239-334-7000",
            "fax_number": "239-334-7070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "TEGAN",
        "middle_name": "LEIGH",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-11-17",
        "last_updated": "2022-03-14",
        "certification_date": "2022-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MN",
            "license": "10492",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT35708",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Forrest Nelson
• Gretchen Nelson, ARNP
• Jasen Nelson
• Kayla Nelson, SLP-CCC
• Shannon L Nelson, CCC-SLP
• Tracy Zaneta Nelson, OWNER
• Alicia C Nemeth, RN
• Kira Isabel Nemeth
• Jason Nemitz, MD
• Neo Medical Center LLC (NEO Surgical Group)

• Physical Therapist in Fort Myers, FL
• Providers in Fort Myers, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.