Steven Nelson

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA20556 Issued in FL

Practice address

3611 Transmitter Rd
Panama City, FL 32404-9799

Phone

(850) 747-9688

NPI assigned

Jun 11, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1591833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591833600000",
    "number": "1720603038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3601 GAME FARM RD",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324043126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3611 TRANSMITTER RD",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324049799",
            "telephone_number": "850-747-9688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "STEVEN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-06-11",
        "last_updated": "2020-06-11",
        "certification_date": "2020-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "FL",
            "license": "PTA20556",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "N/A",
            "affiliation": "N",
            "address_1": "3611 Transmitter Rd",
            "city": "Panama City",
            "state": "FL",
            "country_code": "US",
            "postal_code": "324049799",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Anna Elizabeth Nelson, PTA
• Deatrice Nelson
• Elizabeth Dawn Nelson
• Merrilyn E Nelson, D.O.
• Paula Moon Nelson, PT
• Nemours Children'S Health, Panama City, Specialty Care
• Nephrology Associates PA
• Jan Lewis Netherland, C.R.N.A.
• Deanna J Nettles, LMHC
• Lisa Marie Neuenfeldt, APRN

• Physical Therapy Assistant in Panama City, FL
• Providers in Panama City, FL by specialty
• Physical Therapy Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2020; 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.