Organization Active NPI

Keri Nelson PT LLC

  • Physical Therapist
  • Portland, OR
National Provider Identifier
1578461869
Registry record updated Oct 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
KERI NELSON PT LLC
Practice address
825 NE Hazelfern PL
Portland, OR 97232-2625
Phone
(719) 659-9932
Fax
(971) 279-7486
NPI assigned
Oct 28, 2026
Last updated
Oct 28, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2026

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

Authorized official

Name
Keri Nelson, PT
Title
Owner
Phone
(719) 659-9932

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

825 NE Hazelfern PL
Portland, OR 97232-2625

Mailing address

825 NE Hazelfern PL
Portland, OR 97232-2625
Phone (719) 659-9932

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1793145600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1793145600000",
    "number": "1578461869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "825 NE HAZELFERN PL",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972322625",
            "telephone_number": "719-659-9932",
            "fax_number": "971-279-7486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 NE HAZELFERN PL",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972322625",
            "telephone_number": "719-659-9932",
            "fax_number": "971-279-7486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KERI NELSON PT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-10-28",
        "last_updated": "2026-10-28",
        "certification_date": "2026-10-27",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "KERI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "719-659-9932",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2026; 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.