Organization
GO STRETCH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIKIELA RE' NELSON DPT (DOCTOR OF PHYSICAL THERAPY)
(301) 785-1025
Entity
Organization
Contact information
Practice address
9698 MARLBORO PIKE, UPPER MARLBORO, MD 20772-3767
(301) 278-7353
Mailing address
9698 MARLBORO PIKE, UPPER MARLBORO, MD 20772-3767
(301) 278-7353
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
08/03/2020
Last updated
03/20/2025
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up