Active NPI
Mikiela Nelson
- Physical Therapist
- Upper Marlboro, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 24271
- Practice address
- 9698 Marlboro Pike
Upper Marlboro, MD 20772-3767 - Phone
- (301) 785-1025
- NPI assigned
- Dec 12, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 24271 | MD | Primary |
Addresses
Primary practice location
9698 Marlboro Pike
Upper Marlboro, MD 20772-3767
Mailing address
10300 Spring Water LN
Upper Marlboro, MD 20772-6667
Phone (301) 785-1025
Other names 1
- Mikiela Nelson
Electronic endpoints 4
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://www.cms.gov/data-research/computer-data-systems/electronic-submission-medical-documentation-esmd/cms-health-information-handler | Other | Fox Rehab PT MD LLC |
| CONNECT URL | https://www.cms.gov/data-research/computer-data-systems/electronic-submission-medical-documentation-esmd/cms-health-information-handler | Other | Fox Rehab PT MD LLC |
| CONNECT URL | https://www.cms.gov/data-research/computer-data-systems/electronic-submission-medical-documentation-esmd/cms-health-information-handler | Other | Fox Rehab PT MD LLC |
| CONNECT URL | https://www.cms.gov/data-research/computer-data-systems/electronic-submission-medical-documentation-esmd/cms-health-information-handler | Other | Fox Rehab PT MD LLC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD, DC
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1106 Annapolis Rd
Suite 120
Odenton, MD 21113-1738
Phone (410) 674-1650
5425 Wisconsin Ave
Suite 600
Chevy Chase, MD 20815-3588
Phone (866) 525-3175
9885 Greenbelt Rd
Lanham, MD 20706-2302
Phone (877) 407-3422
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 24271 | MD | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Go Stretch | Physical Therapist | Current | Accepting new patients |
| LHMG Physical Therapy, LLC | Physical Therapist | Current | Accepting new patients |
| LHMG Physical Therapy, LLC | Physical Therapist | Current | Accepting new patients |
| LHMG Physical Therapy, LLC | Physical Therapist | Current | Accepting new patients |
| Maryland Luna Care Physical Therapy LLC | Physical Therapist | Current | Accepting new patients |
Locations
5425 Wisconsin Ave
Ste 600
Chevy Chase, MD 20815
Phone (202) 223-3077
1106 Annapolis Rd
Ste 120
Odenton, MD 21113
Phone (410) 674-1650
8109 Ritchie Hwy
Ste 600
Pasadena, MD 21122
Phone (410) 553-3515
9698 Marlboro Pike
Upper Marlboro, MD 20772
Phone (301) 278-7353
Organizations & group practices 7
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 Therapy Clinic/Center
- Annapolis, MD
- NPI 1396122842
Physical Therapist
-
- Physical Therapist
- Timonium, MD
- NPI 1588901847
-
- Physical Therapist
- Annapolis, MD
- NPI 1134763212
-
- Physical Therapist
- Edgewater, MD
- NPI 1508373010
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1355270400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782864000000",
"number": "1265778658",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10300 SPRING WATER LN",
"city": "UPPER MARLBORO",
"state": "MD",
"postal_code": "207726667",
"telephone_number": "301-785-1025"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9698 MARLBORO PIKE",
"city": "UPPER MARLBORO",
"state": "MD",
"postal_code": "207723767",
"telephone_number": "301-785-1025"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NELSON",
"first_name": "MIKIELA",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-12-12",
"last_updated": "2026-07-01",
"certification_date": "2026-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MD",
"license": "24271",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://www.cms.gov/data-research/computer-data-systems/electronic-submission-medical-documentation-esmd/cms-health-information-handler",
"affiliation": "Y",
"endpointDescription": "2.16.840.1.113883.13.34.110.1.998.01",
"affiliationName": "Fox Rehab PT MD LLC",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "CMS esMD eMDR",
"address_1": "9708 Belair Rd",
"city": "Baltimore",
"state": "MD",
"country_code": "US",
"postal_code": "212361108",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://www.cms.gov/data-research/computer-data-systems/electronic-submission-medical-documentation-esmd/cms-health-information-handler",
"affiliation": "Y",
"endpointDescription": "2.16.840.1.113883.13.34.110.1.998.01",
"affiliationName": "Fox Rehab PT MD LLC",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "CMS esMD eMDR",
"address_1": "6451 N Charles St",
"city": "Baltimore",
"state": "MD",
"country_code": "US",
"postal_code": "212121010",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://www.cms.gov/data-research/computer-data-systems/electronic-submission-medical-documentation-esmd/cms-health-information-handler",
"affiliation": "Y",
"endpointDescription": "2.16.840.1.113883.13.34.110.1.998.01",
"affiliationName": "Fox Rehab PT MD LLC",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "CMS esMD eMDR",
"address_1": "11665 Doolittle Dr",
"city": "Waldorf",
"state": "MD",
"country_code": "US",
"postal_code": "206022898",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://www.cms.gov/data-research/computer-data-systems/electronic-submission-medical-documentation-esmd/cms-health-information-handler",
"affiliation": "Y",
"endpointDescription": "2.16.840.1.113883.13.34.110.1.998.01",
"affiliationName": "Fox Rehab PT MD LLC",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "CMS esMD eMDR",
"address_1": "7819 Rocky Springs Rd",
"city": "Frederick",
"state": "MD",
"country_code": "US",
"postal_code": "217022824",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "MIKIELA",
"last_name": "NELSON",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Upper Marlboro, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2026; 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.