Mitchell G Nielsen, PTA
Physical Therapy Assistant in Woodbridge, New Jersey
1265055420- Practice location
- 573 Amboy Ave, Woodbridge, NJ 07095-3049
- Phone
- 908-282-3737
- Fax
- —
- Last updated
- May 22, 2020
Mitchell Gordon Nielsen is a Physical Therapy Assistant based in Woodbridge, NJ. Mitchell Gordon Nielsen practices in Woodbridge, NJ and has the professional credentials of PTA. The NPI Number for Mitchell Gordon Nielsen is 1265055420 and holds a License No. 40QB00295300 (NJ). The current practice location address for Mitchell Gordon Nielsen is 573 Amboy Ave, Woodbridge, NJ 07095-3049 and can be reached out via phone at 908-282-3737.
Provider Profile Details
- NPI Number
- 1265055420
- Provider Name
- Mitchell Gordon Nielsen
- Credential
- PTA
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 573 Amboy Ave, Woodbridge, NJ 07095-3049
- Phone Number
- 908-282-3737
- Primary Taxonomy
- Physical Therapy Assistant · 225200000X
- Sole Proprietor
- No
- Provider Enumeration Date
- May 22, 2020
- Last Update Date
- May 22, 2020
- Certification Date
- May 22, 2020
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 573 Amboy Ave
Woodbridge, NJ 07095-3049 - City
- Woodbridge
- State
- New Jersey
- Zip
- 07095-3049
- Phone Number
- 908-282-3737
Provider Business Mailing Address Details
- Address
- 344 Hulse Ave
Brick, NJ 08724-1516 - City
- Brick
- State
- NJ
- Zip
- 08724-1516
- Phone Number
- 412-952-0019
License Information
- License Number
- 40QB00295300
- License State
- NJ
- Taxonomy
- Physical Therapy Assistant · 225200000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Physical Therapy Assistants near Woodbridge, NJ
View all Physical Therapy Assistants in Woodbridge →Frequently Asked Questions
What is the NPI number of Mitchell G Nielsen, PTA?
The NPI number of Mitchell G Nielsen, PTA is 1265055420. It was assigned on May 22, 2020 and is currently active in the NPPES registry.
What is the specialty of Mitchell G Nielsen, PTA?
Mitchell G Nielsen, PTA is registered under the primary taxonomy Physical Therapy Assistant (code 225200000X), licensed in NJ under license number 40QB00295300.
Where does Mitchell G Nielsen, PTA practice?
The practice location is 573 Amboy Ave, Woodbridge, NJ 07095-3049. The office can be reached at 908-282-3737 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1265055420 directly on the NPPES registry website.