Connor McNamara Nelson, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

310933 Issued in CA

Practice address

210 40TH Street Way
Oakland, CA 94611-5612

Phone

(510) 658-2041

NPI assigned

Mar 28, 2023

Sex

Male

Sole proprietor

No

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

Specialties & licenses 5

Addresses

Medicare fee-for-service enrollment

Enrolled in MA, CO2 enrollments

Enrollment records 2

Specialty

Physical Therapist in Private Practice

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Massachusetts Luna Care Physical Therapy LLCGroup PAC ID 8628468998, 26 clinicians

Intermountain Medical Group Denver LLCGroup PAC ID 0840513552, 571 clinicians

Colorado Luna Care Physical Therapy LLCGroup PAC ID 7517363617, 210 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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 and National Provider Directory roles.

• Colorado Luna Care Physical Therapy LLC

  • Physical Therapist
  • Denver, CO
  • NPI 1891461125
  Medicare reassignment Care Compare group NPD
• Massachusetts Luna Care Physical Therapy LLC

  • Physical Therapist
  • Boston, MA
  • NPI 1427713742
  Medicare reassignment Care Compare group NPD
• Intermountain Medical Group Denver, LLC

  • Family Medicine Physician
  • Denver, CO
  • NPI 1083021083
  Medicare reassignment Care Compare group
• Select Physical Therapy of West Denver Limited Partnership

  • Physical Therapy Clinic/Center
  • Westminster, CO
  • NPI 1346896081
  Medicare reassignment NPD
• Intermountain Medical Group Denver, LLC

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Denver, CO
  • NPI 1083598874
  NPD
• Intermountain Medical Group Denver, LLC

  • Gynecologic Oncology Physician
  • Lafayette, CO
  • NPI 1467282822
  NPD
• Select Physical Therapy of West Denver Limited Partnership

  • Physical Therapy Clinic/Center
  • Wheat Ridge, CO
  • NPI 1942279567
  NPD
• Select Physical Therapy Holdings Inc

  • Physical Therapy Clinic/Center
  • Englewood, CO
  • NPI 1265401897

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1679961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788220800000",
    "number": "1376247155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 N CEDAR AVE STE 1",
            "city": "OWATONNA",
            "state": "MN",
            "postal_code": "550602306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 40TH STREET WAY",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946115612",
            "telephone_number": "510-658-2041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "CONNOR",
        "middle_name": "MCNAMARA",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-03-28",
        "last_updated": "2026-09-01",
        "certification_date": "2026-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MN",
            "license": "12959",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "310933",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT40056",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "0020955",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "88982",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Natalie Nelson-Blake, PH.D.
• Bernard Jimenez Nelson, M.D.
• Britta Charlene Nelson, PA
• Brittany Je'Naye Nelson
• Claudia Lorraine Nelson, ACSW
• Eric Wayne Nelson
• H. Preston Nelson, MD
• Jonathan Paul Nelson, L.AC., C.M.T.
• Julia Frances Nelson, ASW
• Kimberley Nelson

• Physical Therapist in Oakland, CA
• Providers in Oakland, CA by specialty
• Physical Therapist in California

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

Verify at the official NPI Registry.