Active NPI
Heather Nielsen, DPT
- Physical Therapist
- Lander, WY
National Provider Identifier
1821473984
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- WY-1591
- Practice address
- 150 Lincoln St
Lander, WY 82520-2846 - Phone
- (307) 335-5188
- Fax
- (307) 333-0600
- NPI assigned
- Jul 29, 2015
- 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 | WY-1591 | WY | Primary |
Addresses
Primary practice location
150 Lincoln St
Lander, WY 82520-2846
Mailing address
150 Lincoln St
Lander, WY 82520-2846
Phone (307) 335-5188
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1591 | Other | WY | NONE |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| WY-1591 | WY | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1438128000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1615420800000",
"number": "1821473984",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "150 LINCOLN ST",
"city": "LANDER",
"state": "WY",
"postal_code": "825202846",
"telephone_number": "307-335-5188",
"fax_number": "307-333-0600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "150 LINCOLN ST",
"city": "LANDER",
"state": "WY",
"postal_code": "825202846",
"telephone_number": "307-335-5188",
"fax_number": "307-333-0600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NIELSEN",
"first_name": "HEATHER",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-07-29",
"last_updated": "2021-03-11",
"certification_date": "2021-03-11",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WY",
"license": "WY-1591",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NONE",
"identifier": "1591",
"state": "WY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lander, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.