Individual provider Active NPI

Phillip Nelson

  • Occupational Therapist
  • Mobile, AL
National Provider Identifier
1285065169
Registry record updated May 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
3717 Issued in AL
Practice address
6 Benedict PL
Mobile, AL 36606-1908
Phone
(251) 654-1783
NPI assigned
Dec 3, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 5, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 3717 AL Primary

Addresses

Primary practice location

6 Benedict PL
Mobile, AL 36606-1908

Mailing address

6 Benedict PL
Mobile, AL 36606-1908
Phone (251) 654-1783

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140325001208 AL Practitioner - Occupational Therapist in Private Practice 7810128436 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Infirmary Occupational Health, LLCGroup PAC ID 5496132375, 2 clinicians

Practice addresses (Care Compare)

2048 A S Broad St
Mobile, AL 36615-1285
Phone (251) 433-1414

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3713ALMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Infirmary Occupational Health LLC Occupational Therapist CurrentSince Jun 30, 2023 Accepting new patients
Infirmary Occupational Health, LLC Past Accepting new patients

Locations

2048A S Broad St
Mobile, AL 36615
Phone (251) 433-1414

Organizations & group practices 2

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": "1386028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525478400000",
    "number": "1285065169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 BENEDICT PL",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366061908",
            "telephone_number": "251-654-1783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 BENEDICT PL",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366061908",
            "telephone_number": "251-654-1783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "PHILLIP",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-12-03",
        "last_updated": "2018-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "AL",
            "license": "3717",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mobile, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2018; 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.