Active NPI
David M Nelson, OT
- Occupational Therapist
- Burnsville, MN
National Provider Identifier
1467424341
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 103217
- Practice address
- 172 Cobblestone LN
Burnsville, MN 55337-4578 - Phone
- (952) 908-2710
- NPI assigned
- Feb 3, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 103217 | MN | Primary |
Addresses
Primary practice location
172 Cobblestone LN
Burnsville, MN 55337-4578
Mailing address
172 Cobblestone LN
Burnsville, MN 55337-4578
Phone (952) 908-2710
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 103217 | MN | MD | Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physicians' Diagnostics & Rehabilitation,LTD | Occupational Therapist | Past | Accepting new patients |
| Interventional Spine and Pain Physicians, PA | Occupational Therapist | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Specialist
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Occupational Therapist
-
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- Edina, MN
- NPI 1073626081
Occupational Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138924800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1194998400000",
"number": "1467424341",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "172 COBBLESTONE LN",
"city": "BURNSVILLE",
"state": "MN",
"postal_code": "553374578",
"telephone_number": "952-908-2710"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "172 COBBLESTONE LN",
"city": "BURNSVILLE",
"state": "MN",
"postal_code": "553374578",
"telephone_number": "952-908-2710"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NELSON",
"first_name": "DAVID",
"middle_name": "M",
"credential": "OT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-03",
"last_updated": "2007-11-14",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MN",
"license": "103217",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Burnsville, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.