Go Stretch

Primary specialty

Rehabilitation PractitionerTaxonomy code 225400000X

Legal business name

GO STRETCH

Practice address

9698 Marlboro Pike
Upper Marlboro, MD 20772-3767

Phone

(301) 278-7353

NPI assigned

Aug 3, 2020

Organization subpart

No

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

Authorized official

Name

Mikiela Re' Nelson, DPTNPI 1265778658

Title

Doctor of Physical Therapy

Phone

(301) 785-1025

Specialties & licenses 2

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mikiela Nelson

  • Physical Therapist
  • Upper Marlboro, MD
  • NPI 1265778658
  NPD Authorized official

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

{
    "created_epoch": "1596412800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742428800000",
    "number": "1760092944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9698 MARLBORO PIKE",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207723767",
            "telephone_number": "301-278-7353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9698 MARLBORO PIKE",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207723767",
            "telephone_number": "301-278-7353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GO STRETCH",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-03",
        "last_updated": "2025-03-20",
        "certification_date": "2025-03-20",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "MIKIELA",
        "authorized_official_middle_name": "RE'",
        "authorized_official_title_or_position": "DOCTOR OF PHYSICAL THERAPY",
        "authorized_official_telephone_number": "301-785-1025",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Rehabilitation Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Olukorede Gisanrin
• Gladell Mental Wellness LLC
• Gladys Healthcare Services
• Jeffrey Glicksman, M.D.
• Glorious Growth Health Care
• God'S House International Foundation
• Jeanelle Godsey, OTR/L
• Kristy Teresa Godwin, LCPC
• Golden Heart Healthcare Services, LLC
• Golden Sunset Services, Inc.

• Rehabilitation Practitioner in Upper Marlboro, MD
• Providers in Upper Marlboro, MD by specialty
• Rehabilitation Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 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.