Eric E Nelson, DPT, OCS

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

PT25508 Issued in CA

Practice address

92 Main St
Tiburon, CA 94920-2508

Phone

(415) 435-7488

NPI assigned

Aug 24, 2006

Last updated

Nov 6, 2013By the provider in NPPES

Sex

Male

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 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2000

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Tiburon Physical Therapy Center Inc

  • Physical Therapy Clinic/Center
  • Tiburon, CA
  • NPI 1235277625

  Orthopedic

  Medicare reassignment NPD

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

{
    "created_epoch": "1156377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383696000000",
    "number": "1912014143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "92 MAIN ST",
            "city": "TIBURON",
            "state": "CA",
            "postal_code": "949202508",
            "telephone_number": "415-435-7488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "92 MAIN ST",
            "city": "TIBURON",
            "state": "CA",
            "postal_code": "949202508",
            "telephone_number": "415-435-7488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "ERIC",
        "middle_name": "E",
        "credential": "DPT, OCS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-24",
        "last_updated": "2013-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "CA",
            "license": "PT25508",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "ZZZ22814Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cassie Merrier, PT
• David G Meyer, MFTI
• Deborah Mir, OTR/L
• Debbra Ann Montoya, PA-C
• Ilana Mazal Nachoum, PHYSICAL THERAPIST
• Kristen Nelson, DPT
• Olympic Physical Therapy
• Sherrin Jean Packer-Rosenthal, LMFT, MSW,ASW, PPSC
• Herbert W. Peterson, M. D.
• Alicia Andreis Pflueger, D.C.

• Orthopedic Physical Therapist in Tiburon, CA
• Providers in Tiburon, CA by specialty
• Orthopedic Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.