Ty Nelson

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

Practice address

500 15TH Ave S
Great Falls, MT 59405-4324

Phone

(406) 498-2590

NPI assigned

Dec 12, 2017

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

Other names 1

• Ty Nelson Professional name

Medicare fee-for-service enrollment

Enrolled in MT

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 2013

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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

• SCL Health Medical Group-Butte LLC

  • Family Medicine Physician
  • Butte, MT
  • NPI 1477869600
  Medicare reassignment

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

{
    "created_epoch": "1513036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1513036800000",
    "number": "1659886604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 2ND ST NW",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "594041301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 15TH AVE S",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "594054324",
            "telephone_number": "406-498-2590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "TY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-12-12",
        "last_updated": "2017-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TY",
            "last_name": "NELSON",
            "credential": "OT",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Derik Neilson, D.O.
• Barbara Ann Nelson, LCPC
• Devin M Nelson, PA-C
• James Edward Nelson, DDS
• Tanner Nelson, DDS
• Julie Neuman, PHARM.D.
• Kathleen Rose Neuman, LCSW
• New Leaf Center
• Mark George Newbrough, MD FACS
• Robert M. Newkirk, O.D.

• Occupational Therapist in Great Falls, MT
• Providers in Great Falls, MT by specialty
• Occupational Therapist in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2017; 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.