Active NPI
Michele Christine Nielsen, DPT
- Physical Therapist
- Virginia Beach, VA
National Provider Identifier
1366537219
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2305204696
- Practice address
- 2126 Great Neck SQ
Virginia Beach, VA 23454-2202 - Phone
- (757) 578-2197
- Fax
- (757) 578-2330
- NPI assigned
- Oct 4, 2006
- 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 | 2305204696 | VA | Primary |
Addresses
Primary practice location
2126 Great Neck SQ
Virginia Beach, VA 23454-2202
Mailing address
2126 Great Neck SQ
Virginia Beach, VA 23454-2202
Phone (757) 578-2197
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 541853904 | Other | VA | COMMERCIAL |
| 541853904 | Other | VA | AETNA |
| 1366537219 | Other | MEDICARE RAILROAD | |
| 192612 | Other | VA | ANTHEM |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2126 Great Neck SQ
Virginia Beach, VA 23454-2202
Phone (757) 714-6058
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2305204696 | VA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Virginia Beach Physical Therapy & Wellness , PLLC | Physical Therapist | Current | Accepting new patients |
Locations
2126 Great Neck Sq
Virginia Beach, VA 23454
Phone (757) 578-2197
Organizations & group practices 1
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 Therapist
- Virginia Beach, VA
- NPI 1861854812
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159920000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1742860800000",
"number": "1366537219",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2126 GREAT NECK SQ",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234542202",
"telephone_number": "757-578-2197",
"fax_number": "757-578-2330"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2126 GREAT NECK SQ",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234542202",
"telephone_number": "757-578-2197",
"fax_number": "757-578-2330"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NIELSEN",
"first_name": "MICHELE",
"middle_name": "CHRISTINE",
"name_prefix": "Dr.",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-04",
"last_updated": "2025-03-25",
"certification_date": "2025-03-25",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "VA",
"license": "2305204696",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COMMERCIAL",
"identifier": "541853904",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "541853904",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "1366537219",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "192612",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Virginia Beach, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2025; 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.