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

Mitchell Gordon Nielsen, PTA

Individual provider Physical Therapy Assistant · NPI 1265055420

Mitchell Gordon Nielsen, PTA is a Physical Therapy Assistant in Woodbridge, New Jersey. Licensed in New Jersey. Registered with an NPI since 2020.

Licensed in
NJ
In the registry since
2020
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

See every abbreviation used in this directory →

Practice location Address checks out

573 Amboy Ave
Woodbridge, NJ 07095-3049
Phone: (908) 282-3737
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 40QB00295300 (NJ)

Record details

NPI number1265055420
Entity typeIndividual (Type 1)
GenderMale
Credentials PTA
Sole proprietorNo
NPI enumeratedMay 22, 2020
Last updated in NPPESMay 22, 2020
Certification dateMay 22, 2020
Mailing address344 Hulse Ave, Brick, NJ 08724-1516

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