Active NPI
Kimberly J Nelson, LMT
- Massage Therapist
- Scottsdale, AZ
National Provider Identifier
1720073489
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MT05413
- Practice address
- 15953 N Greenway Hayden Loop
Ste a
Scottsdale, AZ 85260-1765 - Phone
- (480) 998-4848
- Fax
- (480) 222-0268
- NPI assigned
- Sep 19, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | MT05413 | AZ | Primary |
Addresses
Primary practice location
15953 N Greenway Hayden Loop
Ste a
Scottsdale, AZ 85260-1765
Mailing address
15953 N Greenway Hayden Loop
Ste a
Scottsdale, AZ 85260-1765
Phone (480) 998-4848
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MT05413 | AZ | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Scottsdale Physical Therapy, LLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Orthopedic Physical Therapist
- Scottsdale, AZ
- NPI 1497881957
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127088000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1720073489",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15953 N GREENWAY HAYDEN LOOP",
"address_2": "STE A",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852601765",
"telephone_number": "480-998-4848",
"fax_number": "480-222-0268"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15953 N GREENWAY HAYDEN LOOP",
"address_2": "STE A",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852601765",
"telephone_number": "480-998-4848",
"fax_number": "480-222-0268"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NELSON",
"first_name": "KIMBERLY",
"middle_name": "J",
"credential": "LMT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-09-19",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "AZ",
"license": "MT05413",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Scottsdale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.