Individual provider Active NPI

Eric Stephen Nelson, L.P.T.A.

  • Physical Therapy Assistant
  • Framingham, MA
National Provider Identifier
1194989632
Registry record updated Jul 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
14226 Issued in FL
Practice address
1630 Worcester Rd Apt 412
Framingham, MA 01702-5453
Phone
(508) 872-0057
NPI assigned
Jul 14, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 14226 FL Primary

Addresses

Primary practice location

1630 Worcester Rd Apt 412
Framingham, MA 01702-5453

Mailing address

1630 Worcester Rd Apt 412
Framingham, MA 01702-5453

Other names 1

  • Eric Stephen Nelson Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
14226FLMDPhysical Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1215993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1215993600000",
    "number": "1194989632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1630 WORCESTER RD APT 412",
            "city": "FRAMINGHAM",
            "state": "MA",
            "postal_code": "017025453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1630 WORCESTER RD APT 412",
            "city": "FRAMINGHAM",
            "state": "MA",
            "postal_code": "017025453",
            "telephone_number": "508-872-0057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "ERIC",
        "middle_name": "STEPHEN",
        "name_prefix": "Mr.",
        "credential": "L.P.T.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-14",
        "last_updated": "2008-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "FL",
            "license": "14226",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ERIC",
            "last_name": "NELSON",
            "middle_name": "STEPHEN",
            "credential": "L.P.T.A",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Framingham, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2008; 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.