Active NPI
David Nelson
- Orthopedic Physical Therapist
- Avondale, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- 30753
- Practice address
- 10320 W McDowell Rd Ste N1447
Avondale, AZ 85392-4879 - Phone
- (623) 907-4400
- NPI assigned
- Jul 17, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 30753 | AZ | |
| Ergonomics Physical Therapist | 2251E1200X | 30753 | AZ | |
| Geriatric Physical Therapist | 2251G0304X | 30753 | AZ | |
| Sports Physical Therapist | 2251S0007X | 30753 | AZ | |
| Orthopedic Physical Therapist | 2251X0800X | 30753 | AZ | Primary |
Addresses
Primary practice location
10320 W McDowell Rd Ste N1447
Avondale, AZ 85392-4879
Mailing address
4050 E Cotton Center Blvd Ste 18
Phoenix, AZ 85040-8862
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10320 W McDowell Rd
Suite N1447
Avondale, AZ 85392-4879
Phone (623) 907-4400
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 30753 | AZ | MD | Ergonomics Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kinect Physical Therapy, PLLC | Physical Therapist | Current | Accepting new patients |
| Figueroa Physical Therapy | Physical Therapist | Current | Accepting new patients |
| DPT Holdings PLLC | Physical Therapist | Current | Accepting new patients |
Locations
10320 W McDowell Rd
Ste N1447
Avondale, AZ 85392
Phone (623) 907-4400
6213 S Miller Rd
Ste 103
Buckeye, AZ 85326
Phone (623) 386-2660
950 E Riggs Rd
Ste 1
Chandler, AZ 85249
Phone (480) 802-8730
11851 N 51st Ave
Unit 110
Glendale, AZ 85304
3050 N Litchfield Rd
Ste 100
Goodyear, AZ 85395
Phone (623) 935-0626
4050 E Cotton Center Blvd
Ste 18
Phoenix, AZ 85040
Phone (480) 653-8200
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.
-
- Physical Therapist
- Chandler, AZ
- NPI 1811265929
-
- Physical Therapist
- Goodyear, AZ
- NPI 1316996978
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1563321600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1563321600000",
"number": "1265085476",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4050 E COTTON CENTER BLVD STE 18",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850408862"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10320 W MCDOWELL RD STE N1447",
"city": "AVONDALE",
"state": "AZ",
"postal_code": "853924879",
"telephone_number": "623-907-4400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NELSON",
"first_name": "DAVID",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-07-17",
"last_updated": "2019-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AZ",
"license": "30753",
"primary": false
},
{
"code": "2251E1200X",
"taxonomy_group": "",
"desc": "Physical Therapist, Ergonomics",
"state": "AZ",
"license": "30753",
"primary": false
},
{
"code": "2251G0304X",
"taxonomy_group": "",
"desc": "Physical Therapist, Geriatrics",
"state": "AZ",
"license": "30753",
"primary": false
},
{
"code": "2251S0007X",
"taxonomy_group": "",
"desc": "Physical Therapist, Sports",
"state": "AZ",
"license": "30753",
"primary": false
},
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "AZ",
"license": "30753",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Avondale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2019; 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.