Individual provider Active NPI

Alexandra Ashley Nelson, PT

  • Physical Therapist
  • Elizabethton, TN
National Provider Identifier
1699186866
Registry record updated Apr 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
6910 Issued in TN
Practice address
1000 Jason Witten Way
Elizabethton, TN 37643-2970
Phone
(423) 439-4355
NPI assigned
May 9, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X
Physical Therapist 225100000X 6910 TN Primary

Addresses

Primary practice location

1000 Jason Witten Way
Elizabethton, TN 37643-2970

Mailing address

331 Jessicas Way
Johnson City, TN 37615-3081
Phone (865) 567-8146

Other practice location 1

1043 Jack Vest Dr.
Johnson City, TN 37614
Phone (423) 952-8030

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150423001042 TN Practitioner - Physical Therapist in Private Practice 1951629914 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
University of Tennessee, HSC, College of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1043 Jack Vest Dr
Johnson City, TN 37614
Phone (423) 439-4044

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Independent Physical Therapy CurrentSince Nov 17, 2014 Accepting new patients
Agilitas USA, Inc Physical Therapist CurrentSince Dec 5, 2022 Accepting new patients
Medical Education Assistance Corporation CurrentSince Apr 1, 2024 Accepting new patients
Agilitas USA Inc Physical Therapist Current Accepting new patients
Agilitas USA, Inc CurrentSince Dec 5, 2022 Accepting new patients
Independent Physical Therapy, LLC Physical Therapist CurrentSince Nov 17, 2014 Accepting new patients

Locations

1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568

1430 Volunteer Pkwy
Ste 6
Bristol, TN 37620
Phone (423) 652-0265

6397 Lee Hwy
Ste 300
Chattanooga, TN 37421
Phone (423) 238-8923

1202 N Charles G Seivers Blvd
Ste A
Clinton, TN 37716
Phone (865) 457-0192

1000 Jason Witten Way
Elizabethton, TN 37643
Phone (423) 547-4915

3493 Veterans Dr N
Ste D
Huntingdon, TN 38344
Phone (731) 209-4444

400 E State of Franklin Rd
Johnson City, TN 37601
Phone (423) 433-6200

820 Scenic Hwy
Ste B
Lookout Mtn, TN 37350
Phone (423) 825-1393

5220 Park Ave
Ste 201
Memphis, TN 38119
Phone (901) 683-9630

8823 Production Ln
Ooltewah, TN 37363
Phone (423) 238-8923

Organizations & group practices 6

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": "1399593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745366400000",
    "number": "1699186866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "331 JESSICAS WAY",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376153081",
            "telephone_number": "865-567-8146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 JASON WITTEN WAY",
            "city": "ELIZABETHTON",
            "state": "TN",
            "postal_code": "376432970",
            "telephone_number": "423-439-4355"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1043 Jack Vest Dr.",
            "address_purpose": "LOCATION",
            "city": "Johnson City",
            "state": "TN",
            "postal_code": "37614",
            "country_code": "US",
            "telephone_number": "423-952-8030",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NELSON",
        "first_name": "ALEXANDRA",
        "middle_name": "ASHLEY",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-09",
        "last_updated": "2025-04-23",
        "certification_date": "2025-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "6910",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elizabethton, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2025; 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.