Paul Nelson

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

070006023 Issued in IL

Practice address

804 Willow CT
Itasca, IL 60143-2864

Phone

(630) 893-5601

NPI assigned

Jun 1, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Rci (WRS) LLCGroup PAC ID 5092624510, 325 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Lifestyle Physical Therapy LTD.

  • Physical Therapist
  • Itasca, IL
  • NPI 1811934250
  Medicare reassignment NPD Authorized official
• Rci (WRS), LLC.

  • Physical Therapy Clinic/Center
  • Mt Prospect, IL
  • NPI 1417561655

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Rci (WRS), LLC

  • Physical Therapy Clinic/Center
  • Mokena, IL
  • NPI 1568160950
  NPD
• Rci (WRS), LLC.

  • Rehabilitation Clinic/Center
  • Oakbrook Terrace, IL
  • NPI 1093320855
  NPD

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

{
    "created_epoch": "1149120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729209600000",
    "number": "1790722361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "804 WILLOW CT",
            "city": "ITASCA",
            "state": "IL",
            "postal_code": "601432864",
            "telephone_number": "630-893-5601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "804 WILLOW CT",
            "city": "ITASCA",
            "state": "IL",
            "postal_code": "601432864",
            "telephone_number": "630-893-5601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "PAUL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-01",
        "last_updated": "2024-10-18",
        "certification_date": "2024-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070006023",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria Moreno
• Samantha Jo Moretti, M.S. OTR/L
• Bonny Moy, PHARMD
• Muhammad Muzammil, MD
• Shilpa Narayanaswamy, DMD
• Courtney Janice Nemer, PHARM D
• Kelly Astrid Neumeier, D.C.
• Reji Ninan, M.D.
• Griselda Nunez, RBT
• Sofia Nunez

• Physical Therapist in Itasca, IL
• Providers in Itasca, IL by specialty
• Physical Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2024; 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.

Verify at the official NPI Registry.