John Jack Nelson, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT23841 Issued in CA

Practice address

700 Oak Avenue Pkwy
Ste B
Folsom, CA 95630-6871

Phone

(916) 932-1210

Fax

(916) 932-1205

NPI assigned

Sep 22, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

University of Kansas School of Med (KC/Wich/Sal), 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Campus Commons Physical Therapy IncGroup PAC ID 2668377060, 5 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.

• Campus Commons Physical Therapy, Inc.

  • Physical Therapist
  • Sacramento, CA
  • NPI 1992787477
  Medicare reassignment Care Compare group NPD
• The Physical Therapy Clinics, Inc.

  • Physical Therapist
  • Rancho Cordova, CA
  • NPI 1033136726
  NPD (past)

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

{
    "created_epoch": "1127347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1477549772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2710",
            "city": "GRANITE BAY",
            "state": "CA",
            "postal_code": "957462710",
            "telephone_number": "916-932-1210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 OAK AVENUE PKWY",
            "address_2": "STE B",
            "city": "FOLSOM",
            "state": "CA",
            "postal_code": "956306871",
            "telephone_number": "916-932-1210",
            "fax_number": "916-932-1205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "JOHN",
        "middle_name": "JACK",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-22",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT23841",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP BLUE SHIELD ID",
            "identifier": "ZZZ04666Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marcia Y. Nearing, O.D.
• Olga Nefedova, DDS
• Courtney Nelson
• Gina Eileen Nelson
• Jeffrey Starr Nelson, M.D.
• Nyna J Nelson, RN-CS, FNP, GNP
• Sharon Ann Nelson, LVN
• Telan G Nelson, PT
• Tiffany Nelson
• Network Environmental Systems, Inc.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 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.