Individual provider Active NPI

Kimberly J Nelson, LMT

  • Massage Therapist
  • Scottsdale, AZ
National Provider Identifier
1720073489
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MT05413 Issued in AZ
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

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
MT05413AZMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
North Scottsdale Physical Therapy, LLC PastSince Aug 24, 2016 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.

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.

Verify at the official NPI Registry.