Active NPI
Deborah E Nelson, RPT
- Physical Therapist
- Mobile, AL
National Provider Identifier
1861474538
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PTH1919
- Practice address
- 305 N Water St
Mobile, AL 36602-4011 - Phone
- (251) 431-5818
- Fax
- (251) 431-5810
- NPI assigned
- Nov 17, 2005
- 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 | PTH1919 | AL | Primary |
Addresses
Primary practice location
305 N Water St
Mobile, AL 36602-4011
Mailing address
305 N Water St
Mobile, AL 36602-4011
Phone (251) 431-5818
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 510-98076 | Other | AL | BC/BS PROVIDER # |
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 |
|---|---|---|---|
| Industrial Wellness Rehab, Inc | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Physical Therapist
- Mobile, AL
- NPI 1437214574
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132185600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1438128000000",
"number": "1861474538",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "305 N WATER ST",
"city": "MOBILE",
"state": "AL",
"postal_code": "366024011",
"telephone_number": "251-431-5818",
"fax_number": "251-431-5810"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "305 N WATER ST",
"city": "MOBILE",
"state": "AL",
"postal_code": "366024011",
"telephone_number": "251-431-5818",
"fax_number": "251-431-5810"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NELSON",
"first_name": "DEBORAH",
"middle_name": "E",
"name_prefix": "Mrs.",
"credential": "RPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-11-17",
"last_updated": "2015-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AL",
"license": "PTH1919",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS PROVIDER #",
"identifier": "510-98076",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Mobile, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.