Active NPI
Kelsey Nelson, PT
- Physical Therapist
- Richardson, TX
National Provider Identifier
1922353077
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1219873
- Practice address
- 510 N Coit Rd
2035 Promenade Center
Richardson, TX 75080-5446 - Phone
- (972) 438-2048
- Fax
- (972) 480-8514
- NPI assigned
- Jul 16, 2012
- 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 | 1219873 | TX | Primary |
Addresses
Primary practice location
510 N Coit Rd
2035 Promenade Center
Richardson, TX 75080-5446
Mailing address
510 N Coit Rd
2035 Promenade Center
Richardson, TX 75080-5446
Phone (972) 438-2048
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1219873 | Other | TX | TEXAS BOARD OF PHYSICAL THERAPY EXAMINERS |
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 |
|---|---|---|---|
| 1219873 | TX | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1342396800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1342396800000",
"number": "1922353077",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "510 N COIT RD",
"address_2": "2035 PROMENADE CENTER",
"city": "RICHARDSON",
"state": "TX",
"postal_code": "750805446",
"telephone_number": "972-438-2048",
"fax_number": "972-480-8514"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "510 N COIT RD",
"address_2": "2035 PROMENADE CENTER",
"city": "RICHARDSON",
"state": "TX",
"postal_code": "750805446",
"telephone_number": "972-438-2048",
"fax_number": "972-480-8514"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NELSON",
"first_name": "KELSEY",
"name_prefix": "Ms.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-07-16",
"last_updated": "2012-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1219873",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TEXAS BOARD OF PHYSICAL THERAPY EXAMINERS",
"identifier": "1219873",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Richardson, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.