Gwendolyn A. Nelson, PT,NCTMB,CLT
NPI 1639396310ActiveIndividual· Physical Therapist· Manistee, MI
Physical Therapist (PT,NCTMB,CLT) in Manistee, Michigan, licensed in MI, with an NPI issued in April 2007.
Overview
| NPI | 1639396310 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PT,NCTMB,CLT |
| Sole proprietor | Yes |
| NPI issued | Apr 20, 2007 |
| Last updated in NPPES | Nov 17, 2009 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | 5501005500 | MI |
| Massage Therapist | 225700000X | 285249-00 | MI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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