Active NPI
Steven Wayne Nelson, P.T.
- Physical Therapist
- Fayetteville, AR
National Provider Identifier
1770514374
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT3317
- Practice address
- 3317 N Wimberly Dr
Fayetteville, AR 72703-4056 - Phone
- (479) 587-3203
- Fax
- (479) 444-6942
- NPI assigned
- Jul 5, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT3317 | AR | Primary |
Addresses
Primary practice location
3317 N Wimberly Dr
Fayetteville, AR 72703-4056
Mailing address
PO Box 1608
Fayetteville, AR 72702-1608
Phone (479) 587-3203
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3317 N Wimberly Dr
Fayetteville, AR 72703-4056
Phone (479) 521-2752
Merit-based Incentive Payment System (MIPS)
- Final score
- 91.41 of 100
- Quality
- 79.26
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT3317 | AR | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ozark Orthopaedics, P.a. | Current | Accepting new patients | |
| Ozark Orthopaedics, PA | Current | Accepting new patients | |
| Human Performance Center PC | Physical Therapist | Past | Accepting new patients |
| Human Performance Center 3 PLLC | Physical Therapist | Past | Accepting new patients |
Locations
3317 N Wimberly Dr
Fayetteville, AR 72703
Phone (479) 521-2752
Interoperability endpoints
- https://api.platform.athenahealth.com/18403/brand/1/csg/1/fhir/r4
- steven.nelson.1@18403.direct.athenahealth.com
Organizations & group practices 4
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.
-
- Orthopaedic Surgery Physician
- Fayetteville, AR
- NPI 1649210584
-
- Orthopaedic Surgery Physician
- Siloam Springs, AR
- NPI 1255164570
-
- Sports Medicine (Physical Medicine & Rehabilitation) Physician
- Alva, OK
- NPI 1669506978
Physical Therapist
-
- Physical Therapist
- Woodward, OK
- NPI 1952410128
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152057600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1295308800000",
"number": "1770514374",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1608",
"city": "FAYETTEVILLE",
"state": "AR",
"postal_code": "727021608",
"telephone_number": "479-587-3203",
"fax_number": "479-444-6942"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3317 N WIMBERLY DR",
"city": "FAYETTEVILLE",
"state": "AR",
"postal_code": "727034056",
"telephone_number": "479-587-3203",
"fax_number": "479-444-6942"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NELSON",
"first_name": "STEVEN",
"middle_name": "WAYNE",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-05",
"last_updated": "2011-01-18",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AR",
"license": "PT3317",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fayetteville, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.