Individual provider Active NPI

Joseph C Nelson, DPT

  • Physical Therapist
  • Iowa City, IA
National Provider Identifier
1679846331
Registry record updated Apr 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
004899 Issued in IA
Practice address
2400 N Dodge St Ste B
Iowa City, IA 52245-8304
Phone
(319) 246-2006
Fax
(319) 483-6919
NPI assigned
Feb 10, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 004899 IA Primary

Addresses

Primary practice location

2400 N Dodge St Ste B
Iowa City, IA 52245-8304

Mailing address

2400 N Dodge St Ste B
Iowa City, IA 52245-8304
Phone (193) 246-2006

Other practice location 1

503 Westbury Dr
Suite 3
Iowa City, IA 52245-2726
Phone (319) 337-4325

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120406000116 IA Practitioner - Physical Therapist in Private Practice 6305007089 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tipt PLLCGroup PAC ID 3577840883, 8 clinicians

Practice addresses (Care Compare)

2400 N Dodge St
Suite B
Iowa City, IA 52245-8304
Phone (319) 246-2006

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
004899IAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Tipt PLLC Physical Therapist CurrentSince Mar 17, 2017 Accepting new patients
Athletico LTD Physical Therapist Past Accepting new patients

Locations

2400 N Dodge St
Ste B
Iowa City, IA 52245
Phone (319) 246-2006

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1328832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555372800000",
    "number": "1679846331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 N DODGE ST STE B",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "522458304",
            "telephone_number": "193-246-2006",
            "fax_number": "319-483-6919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 N DODGE ST STE B",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "522458304",
            "telephone_number": "319-246-2006",
            "fax_number": "319-483-6919"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "503 Westbury Dr",
            "address_2": "Suite 3",
            "address_purpose": "LOCATION",
            "city": "Iowa City",
            "state": "IA",
            "postal_code": "522452726",
            "country_code": "US",
            "telephone_number": "319-337-4325",
            "fax_number": "319-337-0608",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NELSON",
        "first_name": "JOSEPH",
        "middle_name": "C",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-02-10",
        "last_updated": "2019-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IA",
            "license": "004899",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Iowa City, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2019; 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.