Active NPI
Lindsey L Nelson
- Physical Medicine & Rehabilitation Physician
- Salem, NH
National Provider Identifier
1508560418
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- A2828
- Practice address
- 23 Geremonty Dr
Salem, NH 03079-3314 - Phone
- (603) 893-5586
- NPI assigned
- Mar 27, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 1479 | NH | |
| Physical Therapy Assistant | 225200000X | 53138 | CA | |
| Physical Medicine & Rehabilitation Physician | 208100000X | A2828 | MN | Primary |
Addresses
Primary practice location
23 Geremonty Dr
Salem, NH 03079-3314
Mailing address
791 Lafond Ave
Saint Paul, MN 55104-7604
Phone (651) 354-1955
Other practice location 1
7500 W 22nd St
Minneapolis, MN 55426-2602
Phone (952) 641-9200
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A2828 | MN | MD | Physical Medicine & Rehabilitation Physician |
| 53138 | CA | MD | Physical Therapy Assistant |
| 1479 | NH | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1679875200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1709769600000",
"number": "1508560418",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "791 LAFOND AVE",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551047604",
"telephone_number": "651-354-1955"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23 GEREMONTY DR",
"city": "SALEM",
"state": "NH",
"postal_code": "030793314",
"telephone_number": "603-893-5586"
}
],
"practiceLocations": [
{
"address_1": "7500 W 22nd St",
"address_purpose": "LOCATION",
"city": "Minneapolis",
"state": "MN",
"postal_code": "554262602",
"country_code": "US",
"telephone_number": "952-641-9200",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NELSON",
"first_name": "LINDSEY",
"middle_name": "L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-03-27",
"last_updated": "2024-03-07",
"certification_date": "2024-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "NH",
"license": "1479",
"primary": false
},
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "CA",
"license": "53138",
"primary": false
},
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "MN",
"license": "A2828",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Salem, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.