Patricia Bolli Nelson, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1053205 Issued in TX

Practice address

305 W Mill St
Livingston, TX 77351-3226

Phone

(936) 327-4084

Fax

(936) 327-1201

NPI assigned

May 23, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Livingston Physical Therapy PC

  • Physical Therapist
  • Livingston, TX
  • NPI 1215930326
  NPD (past)
• Livingston Physician Services PA

  • Hospitalist Physician
  • Livingston, TX
  • NPI 1972891042
  NPD (past)
• Tender Advocates LLC

  • Ambulance
  • Burwell, NE
  • NPI 1811503824
  NPD (past)

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

{
    "created_epoch": "1116806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1230508800000",
    "number": "1902809031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 W MILL ST",
            "city": "LIVINGSTON",
            "state": "TX",
            "postal_code": "773513226",
            "telephone_number": "936-327-4084",
            "fax_number": "936-327-1201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 W MILL ST",
            "city": "LIVINGSTON",
            "state": "TX",
            "postal_code": "773513226",
            "telephone_number": "936-327-4084",
            "fax_number": "936-327-1201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "PATRICIA",
        "middle_name": "BOLLI",
        "name_prefix": "Ms.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-05-23",
        "last_updated": "2008-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1053205",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PAR PLAN PROVIDER #",
            "identifier": "8T0826",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS BLUE LINK PROVIDER #",
            "identifier": "0079719",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Vera Awah Mwaka, PHARM D
• My Nurse Consultant, LLC
• Kimberly Ann Myers, CCC/SLP
• Nader Kreit DDS PLLC
• Husam H Najjar, M.D.
• Raymond Neuman, MD
• New Day Intermediate Care, LLC
• Quennie Candy L Ngileb, OTR
• John Cao Nguyen, DMD
• Tram Anh Nguyen, DDS

• Physical Therapist in Livingston, TX
• Providers in Livingston, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.