Active NPI
Nancy T. Nesbit, DPT, LAT, CSCS
- Physical Therapist
- Park Falls, WI
National Provider Identifier
1790829455
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 3939
- Practice address
- 500 Birch St
Park Falls, WI 54552-1415 - Phone
- (715) 762-1515
- Fax
- (715) 762-1599
- NPI assigned
- Feb 16, 2007
- Last updated
- Mar 26, 2013
- Sex
- Female
- Sole proprietor
- Yes
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 | 3939 | WI | Primary |
Addresses
Primary practice location
500 Birch St
Park Falls, WI 54552-1415
Mailing address
500 Birch Street
Park Falls, WI 54552-0107
Phone (715) 762-1515
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 40174000 | Medicaid | WI | |
| 37-039 | Other | WI | WI LICENSE- ATH.TRAINER |
| 3939 | Other | WI | WI STATE LICENSE FOR PT |
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)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Excelrehab & Spine Center, Inc. | Physical Therapist | Past | Accepting new patients |
| Excelrehab & Spine Center, Inc. | Physical Therapist | Past | Accepting new patients |
| Back-N-Action Physical Therapy and Rehab Specialists | Physical Therapist | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
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Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171584000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1364256000000",
"number": "1790829455",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 BIRCH STREET",
"city": "PARK FALLS",
"state": "WI",
"postal_code": "545520107",
"telephone_number": "715-762-1515",
"fax_number": "715-762-1599"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 BIRCH ST",
"city": "PARK FALLS",
"state": "WI",
"postal_code": "545521415",
"telephone_number": "715-762-1515",
"fax_number": "715-762-1599"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NESBIT",
"first_name": "NANCY",
"middle_name": "T.",
"name_prefix": "Mrs.",
"credential": "DPT, LAT, CSCS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-16",
"last_updated": "2013-03-26",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WI",
"license": "3939",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "40174000",
"state": "WI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WI LICENSE- ATH.TRAINER",
"identifier": "37-039",
"state": "WI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WI STATE LICENSE FOR PT",
"identifier": "3939",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Park Falls, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.