KAY NIELSON PTA LLC (NPI# 1386740736) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386740736 |
| Entity Type | Organization |
| Organization Name | KAY NIELSON PTA LLC |
| Practice Address |
18255 Redwood Hwy Selma OR 97538-9729 |
| Mailing Address |
5050 Lake Shore Dr Selma OR 97538-9502 |
| Practice Telephone | 5415972273 |
| Practice Fax Number | 5415972273 |
| Mailing Telephone | 5415972273 |
| Mailing Fax Number | 5415972273 |
| Enumeration Date | 2006-09-15 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MS. KAY MARIE NIELSON (OWNER) |
| Authorized Official Telephone | 5415972273 |
| Authorized Official Credential | PTA/LMT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
7578 | OR | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | PT BOARD | 7578 | 01 |
| OR | MASSAGE BOARD | 7202 | 01 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | KAY NIELSON PTA LLC | 18255 Redwood Highway, Selma, OR 97538 |
| Street Address |
18255 REDWOOD HWY |
| City | SELMA |
| State | OR |
| Zip Code | 97538-9729 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245531664 | Peggie Meredith Harris | Physical Therapist | 18255 Redwood Hwy, Selma, OR 97538 | 2010-11-17 |
| 1063653046 | Kay Marie Nielson | Massage Therapist | 18255 Redwood Hwy, Selma, OR 97538-9729 | 2009-03-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871810580 | Lacy M Miller | Registered Nurse | 1874 Lakeshore Dr., Selma, OR 97538 | 2010-04-21 |
| 1912462144 | Earth Song Medical Practice LLC | Clinic/Center | 18173 Redwood Hwy, Selma, OR 97538 | 2019-02-01 |
| 1730441023 | Elbert C Collins Md | Obstetrics & Gynecology | 18173 Redwood Hwy, Selma, OR 97538 | 2012-06-12 |
| 1003128729 | Barbara Braunstein | Massage Therapist | 18173 Redwood Hwy, Selma, OR 97538 | 2010-07-10 |
| 1861681967 | Katherine Mechling | Clinic/Center | 18173 Redwood Hwy, Selma, OR 97538-0847 | 2007-10-15 |
| 1588046064 | Daniel Hagerty | Nurse Practitioner | 18173 Redwood Hwy, Po Box 847, Selma, OR 97538-1257 | 2015-06-22 |
| 1447420674 | Jacqueline T. Farless | Contractor | 5616 Lake Shore Dr, Selma, OR 97538-9711 | 2008-03-04 |
| 1699767103 | Katherine Mechling | Family Medicine | 18173 Redwood Hwy, Selma, OR 97538-9732 | 2005-08-19 |
| 1295855831 | Kailua Naoni Long | Dental Hygienist | 1360 Mcmullen Creek Rd, Selma, OR 97538-9749 | 2007-03-29 |
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568432599 | Courtney J Moore, Physical Therapy, Inc. | Clinic/Center | 2251 Country Club Ln, Selma, CA 93662-3859 | 2006-01-24 |
| 1821562489 | Pbma LLC | Clinic/Center | 2251 Country Club Ln, Selma, CA 93662-3859 | 2019-01-17 |
| 1073989562 | Summit Wellness Centers, Inc | Clinic/Center | 2251 Country Club Ln, Selma, CA 93662-3859 | 2015-08-19 |
| 1417255977 | Gaitway Physical Therapy | Clinic/Center | 431 Church St, Selma, AL 36701-4565 | 2011-03-08 |
| 1164525291 | Texas Physical Therapy Specialists PC | Clinic/Center | 8335 Agora Pkwy, Suite 100, Selma, TX 78154-1316 | 2006-09-06 |
| 1629087150 | Rehab Associates, LLC | Clinic/Center | 1391 E Highland Ave, Suite 103, Selma, AL 36703-3204 | 2006-08-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881292639 | Blueprint Sports Therapy | Clinic/Center | 17440 Sw Reusser Ct, Beaverton, OR 97007-8772 | 2020-10-14 |
| 1790383982 | Fluid Movement LLC | Clinic/Center | 2565 Bowmont Dr, Eugene, OR 97405-1407 | 2020-10-11 |
| 1184221335 | Convergence Physical Therapy and Performance | Clinic/Center | 303 S 5th St Ste 140, Springfield, OR 97477-5480 | 2020-10-01 |
| 1356969976 | Readygo Physical Therapy LLC | Clinic/Center | 904 Se 69th Ave, Portland, OR 97215-2120 | 2020-07-09 |
| 1619591815 | Cyti LLC | Clinic/Center | 11350 Sw Canyon Rd # 202, Beaverton, OR 97005-2234 | 2020-06-03 |
| 1144865841 | St. Johns Physical Therapy | Clinic/Center | 8835 N Bradford St, Portland, OR 97203-2869 | 2019-11-18 |
| 1750930004 | Revolutions Physical Therapy LLC | Clinic/Center | 8751 Sw Pamlico Ct, Tualatin, OR 97062-9345 | 2019-09-10 |
| 1487202362 | Mpt LLC | Clinic/Center | 98158 W Benham Ln Ste 10, Brookings, OR 97415-9546 | 2019-09-03 |
| 1215584446 | Patrick Franko Pt LLC | Clinic/Center | 2331 Ne 43rd Ave, Portland, OR 97213-1332 | 2019-08-22 |
| 1689228686 | Ground Work Physical Therapy | Clinic/Center | 2330 Ne Division St Ste 1, Bend, OR 97703-3570 | 2019-07-29 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on KAY NIELSON PTA LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.