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

Tyrel Nelson, PT

Individual provider Physical Therapist · NPI 1477045581

Tyrel Nelson, PT is a Physical Therapist in Private Practice in Rexburg, Idaho. Qualified in 2018, 8 years ago. Accepts Medicare assignment. Licensed in Idaho.

Years since qualifying
8
Licensed in
ID
In the registry since
2018
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

1120 Stocks Ave Ste C
Rexburg, ID 83440-3590
Phone: (208) 261-2123
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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 5655 (ID)

Record details

NPI number1477045581
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorNo
NPI enumeratedJune 4, 2018
Last updated in NPPESFebruary 22, 2023
Certification dateFebruary 22, 2023
Mailing address1940 S Bonito Way Ste 190, Meridian, ID 83642-5618

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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