Active NPI
Timothy Kirk Nelson, MPT
- Physical Therapist
- New Orleans, LA
National Provider Identifier
1811065048
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 04714
- Practice address
- 1900 Gravier St
7TH Floor
New Orleans, LA 70112-2262 - Phone
- (504) 568-4250
- Fax
- (504) 568-4249
- NPI assigned
- Dec 4, 2006
- Sex
- Female
- 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 | 04714 | LA | Primary |
Addresses
Primary practice location
1900 Gravier St
7TH Floor
New Orleans, LA 70112-2262
Mailing address
PO Box 62600
Dept 1268
New Orleans, LA 70162-2600
Phone (504) 568-4250
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 04714 | LA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165190400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1811065048",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 62600",
"address_2": "DEPT 1268",
"city": "NEW ORLEANS",
"state": "LA",
"postal_code": "701622600",
"telephone_number": "504-568-4250",
"fax_number": "504-568-4249"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1900 GRAVIER ST",
"address_2": "7TH FLOOR",
"city": "NEW ORLEANS",
"state": "LA",
"postal_code": "701122262",
"telephone_number": "504-568-4250",
"fax_number": "504-568-4249"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NELSON",
"first_name": "TIMOTHY",
"middle_name": "KIRK",
"credential": "MPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-04",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "LA",
"license": "04714",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New Orleans, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.