Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Justin Nelson, OTD, OTR/L, LAT, ATC

Individual provider Occupational Therapist · NPI 1396381554

Justin Nelson, OTD, OTR/L, LAT, ATC is an Occupational Therapist in Decatur, Illinois. Works from 2 locations. Registered with an NPI since 2019.

In the registry since
2019
What do these letters mean?
OTD — Doctor of Occupational Therapy
The doctoral degree in occupational therapy.
OTR/L — Occupational Therapist, Registered and Licensed
An occupational therapist who is both nationally registered and state licensed.
LAT — Licensed Athletic Trainer
A state-licensed athletic trainer.
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

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Practice location Address checks out

1415 W Mound Rd
Decatur, IL 62526-1263
Phone: (217) 615-3741
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 875 W McKinley Ave, Decatur, IL 62526-3287 — (217) 872-1282

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X

Record details

NPI number1396381554
Entity typeIndividual (Type 1)
GenderMale
Credentials OTD , OTR/L , LAT , ATC
Sole proprietorNo
NPI enumeratedNovember 22, 2019
Last updated in NPPESNovember 22, 2019

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