Individual provider Active NPI

David Nelson

  • Orthopedic Physical Therapist
  • Avondale, AZ
National Provider Identifier
1265085476
Registry record updated Jul 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
30753 Issued in AZ
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

Updated by the provider on Jul 17, 2019

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
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

Enrollment IDStateProvider typePAC IDDetails
I20190827004167 AZ Practitioner - Physical Therapist in Private Practice 6406184589 Reassigns benefits to 3 organizations

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
Kinect Physical Therapy PLLCGroup PAC ID 3476713009, 46 clinicians

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

LicenseStateTypeSpecialty
30753AZMDErgonomics Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Kinect Physical Therapy, PLLC Physical Therapist CurrentSince Jul 1, 2020 Accepting new patients
Figueroa Physical Therapy Physical Therapist CurrentSince Jul 23, 2019 Accepting new patients
DPT Holdings PLLC Physical Therapist CurrentSince Sep 1, 2025 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.

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.

Verify at the official NPI Registry.