Carly Jordan Nelson, DPT, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2305217135 Issued in VA

Practice address

108 Knotbreak Rd
Salem, VA 24153-5414

Phone

(540) 685-0168

Fax

(540) 685-0169

NPI assigned

Mar 22, 2025

Last updated

Jul 9, 2025By 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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• University Physical Therapy Limited Partnership

  • Physical Therapist
  • Salem, VA
  • NPI 1477893295
  NPD
• University Physical Therapy Limited Partnership

  • Physical Therapist
  • Daleville, VA
  • NPI 1104330190
  NPD (past)

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

{
    "created_epoch": "1742601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752019200000",
    "number": "1700687076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 S MAIN ST STE B",
            "city": "BLACKSBURG",
            "state": "VA",
            "postal_code": "240606620",
            "telephone_number": "540-685-0168",
            "fax_number": "540-685-0169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 KNOTBREAK RD",
            "city": "SALEM",
            "state": "VA",
            "postal_code": "241535414",
            "telephone_number": "540-685-0168",
            "fax_number": "540-685-0169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "CARLY",
        "middle_name": "JORDAN",
        "credential": "DPT, PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-03-22",
        "last_updated": "2025-07-09",
        "certification_date": "2025-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305217135",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• National Seating & Mobility, Inc.
• Nationaldiabeticpharmacies
• Roxana Navab-Boushehri, MA
• Elizabeth Neal, DDS
• Jacob Neathawk Jr., MD
• Joseph L Nelson III, MD
• Julia Nelson
• Summer Nelson, PH.D.
• Soroor Nematbakhsh, MD
• Douglas Richard Nemec, M.D.

• Physical Therapist in Salem, VA
• Providers in Salem, VA by specialty
• Physical Therapist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2025; 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.