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

Paul Nelson

Individual provider Physical Therapist · NPI 1790722361

Paul Nelson is a Physical Therapist in Private Practice in Itasca, Illinois. Qualified in 1989, 37 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
37
Licensed in
IL
In the registry since
2006

Practice location Address checks out

804 Willow Ct
Itasca, IL 60143-2864
Phone: (630) 893-5601
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 070006023 (IL)

Record details

NPI number1790722361
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJune 1, 2006
Last updated in NPPESOctober 18, 2024
Certification dateOctober 18, 2024
Mailing address804 Willow Ct, Itasca, IL 60143-2864

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 1989 (37 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Itasca