Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mary Q Nelson

Individual provider Physical Therapist · NPI 1063582211

Mary Q Nelson is a Physical Therapist in Private Practice in Lakewood, Washington. Qualified in 2004, 22 years ago. Practices with Empowerme Rehabilitation Colorado, LLC, a 105-clinician group and accepts Medicare assignment. Licensed in Washington.

Years since qualifying
22
Licensed in
WA
In the registry since
2006
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Practice location Address checks out

5605 100th St SW Ste B
Lakewood, WA 98499-2710
Phone: (253) 284-9800
Fax: (253) 284-9801
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT00009699 (WA)

Record details

NPI number1063582211
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedNovember 8, 2006
Last updated in NPPESApril 28, 2025
Certification dateApril 28, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice Empowerme Rehabilitation Colorado, Llc — 105 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

Other providers in Lakewood