Michael M Nelson, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

P1 60278671 Issued in WA

Practice address

6004 Westgate Blvd Ste 220
Tacoma, WA 98406-2503

Phone

(253) 759-4065

NPI assigned

Sep 6, 2013

Last updated

Sep 6, 2013By 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

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": "1378425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1378425600000",
    "number": "1548695737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8429 S G ST",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984446316",
            "telephone_number": "253-226-7762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6004 WESTGATE BLVD STE 220",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984062503",
            "telephone_number": "253-759-4065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "MICHAEL",
        "middle_name": "M",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-09-06",
        "last_updated": "2013-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "WA",
            "license": "P1 60278671",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leah Jane Nelson, DO
• Mark Lewis Nelson, MD
• Mark P. Nelson
• Mary Lou Nelson, L.M.P.
• Matthew Douglass Nelson, DDS
• Michelle J Nelson, PA-C
• Monica Nelson, ARNP
• Paul A Nelson, PH.D.
• Paul Stewart Nelson, M.D.
• Phyllis Nelson, RDH

• Physical Therapy Assistant in Tacoma, WA
• Providers in Tacoma, WA by specialty
• Physical Therapy Assistant in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2013; 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.