Kimberly Anne Nelson, PTA
Individual provider Active NPI Physical Therapy Assistant · Newalla, OK
NPI 1275838773 · NPPES record last updated Jan 14, 2011
Key facts
- NPI
- 1275838773
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- 831 (OK)
- Practice address
- 5800 Sun Perch Dr
Newalla, OK 74857-6432 - Phone
- (405) 659-0606
- Fax
- (877) 866-5803
- NPI assigned
- Jan 14, 2011
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 831 | OK | MD | Physical Therapy Assistant |
| 2080350 | TX | MD | Physical Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 831 | OK | Yes |
| Physical Therapy Assistant | 225200000X | 2080350 | TX |
Addresses
Primary practice location
5800 Sun Perch Dr
Newalla, OK 74857-6432
Mailing address
5800 Sun Perch Dr
Newalla, OK 74857-6432
Phone (405) 659-0606
Other providers in Newalla, OK
- Tamra Realta James
- Gena Jenkins
- Low Vision Strategies, LLC
- Kimberly McCutcheon
- Katherine McElwee
- Daniel Alan O'Connor
- Ok Peds Pediatric Therapy Services
- Lynndee Parsons
- Kimberly Pearson
- Jaclyn Pennington
All providers in Newalla, OK · Physical Therapy Assistant in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 14, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.