Kay Nielson Pta LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

7578 Issued in OR

Legal business name

KAY NIELSON PTA LLC

Practice address

18255 Redwood Hwy
Selma, OR 97538-9729

Phone

(541) 597-2273

Fax

(541) 597-2273

NPI assigned

Sep 15, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Kay Marie Nielson, PTA/LMTNPI 1063653046

Title

Owner

Phone

(541) 597-2273

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kay Marie Nielson, PTA, LMT

  • Massage Therapist
  • Selma, OR
  • NPI 1063653046
  NPD (past) Authorized official
• Peggie Meredith Harris, P.T.

  • Physical Therapist
  • Selma, OR
  • NPI 1245531664
  NPD (past)

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

{
    "created_epoch": "1158278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1386740736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5050 LAKE SHORE DR",
            "city": "SELMA",
            "state": "OR",
            "postal_code": "975389502",
            "telephone_number": "541-597-2273",
            "fax_number": "541-597-2273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18255 REDWOOD HWY",
            "city": "SELMA",
            "state": "OR",
            "postal_code": "975389729",
            "telephone_number": "541-597-2273",
            "fax_number": "541-597-2273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAY NIELSON PTA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NIELSON",
        "authorized_official_first_name": "KAY",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "541-597-2273",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "PTA/LMT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "OR",
            "license": "7578",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MASSAGE BOARD",
            "identifier": "7202",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PT BOARD",
            "identifier": "7578",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elbert C Collins MD
• Jacqueline T. Farless, L.M.T.
• Peggie Meredith Harris, P.T.
• Alexus Inge
• Katherine Mechling (Clear Creek Family Practice)
• Katherine Mechling, M.D.
• Lacy M Miller, RN
• Kay Marie Nielson, PTA, LMT
• Ben Pfaff, CRM
• Kirstan Poissonnier

• Physical Therapy Clinic/Center in Selma, OR
• Providers in Selma, OR by specialty
• Physical Therapy Clinic/Center in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.