Ashley Chad Nielsen, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

293 Issued in SD

Practice address

3901 S Marion Rd
Sioux Falls, SD 57106-1799

Phone

(605) 361-3311

NPI assigned

Apr 28, 2019

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1556409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556409600000",
    "number": "1225692916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2210 W TREVI PL APT 163",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571087521",
            "telephone_number": "402-750-0914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3901 S MARION RD",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571061799",
            "telephone_number": "605-361-3311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIELSEN",
        "first_name": "ASHLEY",
        "middle_name": "CHAD",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-04-28",
        "last_updated": "2019-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "SD",
            "license": "293",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Razvan Nicolescu, M.D.
• Connie Niederauer, RDN
• Gregory George Niederauer, MD
• Ellen Janet Niedert-Hohm, M.S., LPC-MS, QMHP
• Erin Nielsen Ogdahl, CSW, LAC
• Chad Nielsen, LAC
• Jeffrey L Nielsen, R.PH.
• Julie F Nielsen, PA
• Justin Lee Nielsen, MA, LPC, ACT
• Rena Elise Nielsen, FNP-C

• Physical Therapy Assistant in Sioux Falls, SD
• Providers in Sioux Falls, SD by specialty
• Physical Therapy Assistant in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2019; 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.