Organization Active NPI

Lee Ann Nelson Physical Therapy LLC

  • Physical Therapist
  • Perryville, MD
National Provider Identifier
1396989927
Registry record updated Apr 27, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
17180 Issued in MD
Legal business name
LEE ANN NELSON PHYSICAL THERAPY LLC
Practice address
4899 Pulaski Highway
Suite a
Perryville, MD 21903
Phone
(410) 392-9400
Fax
(410) 392-0577
NPI assigned
Apr 27, 2009
Last updated
Apr 27, 2009By the provider in NPPES
Organization subpart
Yes
Parent organization
LEE ANN NELSON PHYSICAL THERAPY LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 27, 2009

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

Authorized official

Name
Lee Ann Nelson, PTNPI 1942347901
Title
Managing Member
Phone
(410) 392-9400

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 17180 MD Primary

Addresses

Primary practice location

4899 Pulaski Highway
Suite a
Perryville, MD 21903

Mailing address

4899 Pulaski Highway
Suite a
Perryville, MD 21903
Phone (410) 392-9400

National Provider Directory

National Provider Directory
Tax ID family
Lee Ann Nelson Physical Therapy LLC2 organizations share this tax ID, including this one
Part of
Lee Ann Nelson Physical Therapy LLC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

4899 Pulaski Hwy
Ste A
Perryville, MD 21903
Phone (410) 392-9400

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1240790400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1240790400000",
    "number": "1396989927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4899 PULASKI HIGHWAY",
            "address_2": "SUITE A",
            "city": "PERRYVILLE",
            "state": "MD",
            "postal_code": "21903",
            "telephone_number": "410-392-9400",
            "fax_number": "410-392-0577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4899 PULASKI HIGHWAY",
            "address_2": "SUITE A",
            "city": "PERRYVILLE",
            "state": "MD",
            "postal_code": "21903",
            "telephone_number": "410-392-9400",
            "fax_number": "410-392-0577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEE ANN NELSON PHYSICAL THERAPY LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LEE ANN NELSON PHYSICAL THERAPY LLC",
        "enumeration_date": "2009-04-27",
        "last_updated": "2009-04-27",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "LEE ANN",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "410-392-9400",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "17180",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Perryville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2009; 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.