Craig Edward Nelson, O.T.R

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

0119000190 Issued in VA

Practice address

7TH and Albemarle St
Petersburg, VA 23803-0030

Phone

(804) 524-7107

NPI assigned

Mar 2, 2007

Last updated

Jun 22, 2010By the provider in NPPES

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1172793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277164800000",
    "number": "1477682904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5718 PROMONTORY PL",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231122075",
            "telephone_number": "804-304-8453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7TH AND ALBEMARLE ST",
            "city": "PETERSBURG",
            "state": "VA",
            "postal_code": "238030030",
            "telephone_number": "804-524-7107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "CRAIG",
        "middle_name": "EDWARD",
        "name_prefix": "Mr.",
        "credential": "O.T.R",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-02",
        "last_updated": "2010-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "VA",
            "license": "0119000190",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "0119000190",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tiffany Rachel Myrga, LPC
• Nadiya House, LLC
• Alysha Zoe Nakoneczny, FNP
• Sajid Naveed, MD
• Juliana Naw
• Sarah K. D. Nelson, M.S. CCC-SLP
• Sharon Marie Nelson, LCSW
• Virginia Svidro Nelson, M.D.
• New Beginning in-Home Care
• New Beginnings 2 Life LLC

• Occupational Therapist in Petersburg, VA
• Providers in Petersburg, VA by specialty
• Occupational Therapist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2010; 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.