Julia Ann Nelson, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

4218 Issued in MN

Practice address

218 Horace Ave North
Thief River Falls, MN 56701-2025

Phone

(218) 653-1004

Fax

(218) 653-1058

NPI assigned

Jul 19, 2016

Last updated

Feb 22, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Julia Fisher Former name

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

North Born Physical Therapy PCGroup PAC ID 8628456183, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• North Born Physical Therapy PC

  • Physical Medicine & Rehabilitation Physician
  • Thief River Falls, MN
  • NPI 1174263743

  Physical Therapist

  Medicare reassignment Care Compare group NPD Authorized official
• Rehabauthority, LLC

  • Multi-Specialty Clinic/Center
  • Grand Forks, ND
  • NPI 1730159690

  MN, Physical Therapist

  Medicare reassignment NPD

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

{
    "created_epoch": "1468886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677024000000",
    "number": "1265885834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1940 S BONITO WAY STE 190",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836425618",
            "telephone_number": "208-287-9420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "218 HORACE AVE NORTH",
            "city": "THIEF RIVER FALLS",
            "state": "MN",
            "postal_code": "567012025",
            "telephone_number": "218-653-1004",
            "fax_number": "218-653-1058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "JULIA",
        "middle_name": "ANN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-19",
        "last_updated": "2023-02-22",
        "certification_date": "2023-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MN",
            "license": "4218",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JULIA",
            "last_name": "FISHER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Tevin Michael Moreno, DDS
• Heather Morrisette
• Kristin Ann Muzzy, MA, OTR/L
• Mickayla Nagel
• Emilie Nelson
• Kevin Richard Nelson, D.C.
• Michelle Rae Neuschwander, APRN
• Courtney M Nordby, COTA
• Patti Norman
• North Born Physical Therapy PC

• Physical Therapist in Thief River Falls, MN
• Providers in Thief River Falls, MN by specialty
• Physical Therapist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2023; 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.