Regan Lauren Nelson, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT6723 Issued in ME

Practice address

482 Stillwater Ave
Old Town, ME 04468-2190

Phone

(207) 881-5012

Fax

(866) 394-9809

NPI assigned

Feb 6, 2024

Last updated

Feb 6, 2024By the provider in NPPES

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

Enrolled in ME

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Back in Motion Physical Therapy LLCGroup PAC ID 7416926704, 57 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Back in Motion Physical Therapy, LLC

  • Physical Therapist
  • Gorham, ME
  • NPI 1821165960
  Medicare reassignment Care Compare group NPD
• Fit Physical Therapy and Consulting Services, LLC

  • Physical Therapist
  • Old Town, ME
  • NPI 1801337563
  NPD

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

{
    "created_epoch": "1707177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707177600000",
    "number": "1629832159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 KENMOOR AVE SE STE 100",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495462395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "482 STILLWATER AVE",
            "city": "OLD TOWN",
            "state": "ME",
            "postal_code": "044682190",
            "telephone_number": "207-881-5012",
            "fax_number": "866-394-9809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "REGAN",
        "middle_name": "LAUREN",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-06",
        "last_updated": "2024-02-06",
        "certification_date": "2024-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ME",
            "license": "PT6723",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Terry L Melanson, LCSW
• Kayleigh Louise Merrill, DC
• Chetan Raj Nanjundaiah, MD
• Kay M Nash, PA-C
• Gabrielle N Neill, PAC
• Tessa T Nguyen, PHARM.D
• Evelyn Dorothy Niles
• Noonan Chiropractic
• Todd D O'Brien, DPM
• Byron Judson Oakes, LLI,MHRT-1, PSS

• Physical Therapist in Old Town, ME
• Providers in Old Town, ME by specialty
• Physical Therapist in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.