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MELISSA SUSAN NIELSEN NPI 1255403424


NPI Information

NPI: 1255403424
Provider Name: MELISSA SUSAN NIELSEN
Classification: Physical Therapist - 2251P0200X
Entity Type: Individual

Specialization: Pediatrics

Address:
1095 PINGREE RD
SUITE119
CRYSTAL LAKE, IL
ZIP 60014
Phone: (847) 458-8890
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Melissa Susan Nielsen is a pediatrics physical therapist in Crystal Lake, IL. The provider is a licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, genetics, biomechanics, neurological function, neuroscience, and pathology, behavioral sciences, and understanding of diseases or conditions that necessitate physical therapy care, that affect systems that in turn necessitate physical therapy care (comorbidities), and that influence the type of intervention that can be given. Melissa Susan Nielsen NPI is 1255403424. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1095 PINGREE RD
SUITE119
CRYSTAL LAKE, IL
ZIP 60014-725
Phone: (847) 458-8890
Fax: (847) 458-8889

The enumeration date for this NPI number is 11/14/2006 and was last updated on 7/8/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12251P0200XPhysical TherapistPediatricsILLINOISYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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