Richard Page Nielsen, PT, DHSC, ECS

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

75-107648-2401 Issued in UT

Practice address

52 N 1100 E
American Fork, UT 84003-2952

Phone

(801) 465-6911

Fax

(801) 465-1617

NPI assigned

Apr 7, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in UT

Enrollment records 1

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.

• Rocky Mountain University of Health Professions Foundation

  • Physical Therapist
  • Provo, UT
  • NPI 1053174417
  Medicare reassignment NPD
• Gordon Petty George, MD, PC

  • Pain Medicine (Anesthesiology) Physician
  • Orem, UT
  • NPI 1962439570
  NPD (past)

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

{
    "created_epoch": "1207526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207526400000",
    "number": "1376716787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "498 EAST 10,000 SOUTH",
            "city": "SALEM",
            "state": "UT",
            "postal_code": "846531111",
            "telephone_number": "801-423-1147",
            "fax_number": "801-375-2125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "52 N 1100 E",
            "city": "AMERICAN FORK",
            "state": "UT",
            "postal_code": "840032952",
            "telephone_number": "801-465-6911",
            "fax_number": "801-465-1617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIELSEN",
        "first_name": "RICHARD",
        "middle_name": "PAGE",
        "name_prefix": "Dr.",
        "credential": "PT, DHSC, ECS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-04-07",
        "last_updated": "2008-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "UT",
            "license": "75-107648-2401",
            "primary": true
        },
        {
            "code": "2251E1300X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Electrophysiology, Clinical",
            "state": "UT",
            "license": "75-107648-2401",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thu A Nguyen, M.D.
• Edward R Nicholls, O.D.
• Claudia Nielsen, PHARMD
• Douglas L Nielsen, PHD
• Emily Nielsen
• Brent Nielson, DDS, MS
• Nikki Harmon Therapy and Coaching
• Noble Dental PC
• Rachel Beth Nordfelt, M.S.
• North Valley Emergency Physicians LC

• Physical Therapist in American Fork, UT
• Providers in American Fork, UT by specialty
• Physical Therapist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.