Maryse Aurelus Nelson, PT

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

PT9548 Issued in FL

Practice address

804 Mendoza Dr
Kissimmee, FL 34758-3411

Phone

(407) 346-1590

NPI assigned

Dec 19, 2024

Sex

Female

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": "1734566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734566400000",
    "number": "1619785029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "804 MENDOZA DR",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347583411",
            "telephone_number": "407-346-1590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "804 MENDOZA DR",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347583411",
            "telephone_number": "407-346-1590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "MARYSE",
        "middle_name": "AURELUS",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-12-19",
        "last_updated": "2024-12-19",
        "certification_date": "2024-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "FL",
            "license": "PT9548",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janice Negron
• Neighbormd of Kissimmee LLC
• Caitrien Jayne Neilson
• Manoucheka Nelcidor
• Jenny Calvar Nelson, M.A., L.M.H.C.
• Tracy Lee Nelson, P.T.
• Yolande Nelson
• Nemours Chidlren'S Health, Kissimmee, Primary Care
• Nemours Children'S Health, Kissimmee, Specialty Care
• Nemours Children'S Health, Kissimmee, Urgent Care

• Physical Medicine & Rehabilitation Physician in Kissimmee, FL
• Providers in Kissimmee, FL by specialty
• Physical Medicine & Rehabilitation Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 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.

Verify at the official NPI Registry.