Individual provider Active NPI

Heather Felde

  • Physical Therapist
  • Charleston, SC
National Provider Identifier
1033494828
Registry record updated Oct 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
11409 Issued in CO
Practice address
1019 Physicians Dr Ste C
Charleston, SC 29414-5746
Phone
(843) 480-9258
NPI assigned
Oct 12, 2011
Last updated
Oct 30, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 11409 CO Primary

Addresses

Primary practice location

1019 Physicians Dr Ste C
Charleston, SC 29414-5746

Mailing address

1127 Saltwater Cir
Johns Island, SC 29455-7959
Phone (518) 986-3734

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, SC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20120203000084 CO Practitioner - Physical Therapist in Private Practice 6608033659 Reassigns benefits to 1 organization
I20241030004275 SC Practitioner - Physical Therapist in Private Practice 6608033659 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Joint Effort Movement CenterGroup PAC ID 0648513457, 3 clinicians

Practice addresses (Care Compare)

1019 Physicians Dr
Charleston, SC 29414-5746
Phone (843) 790-4515

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11409COMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Joint Effort Movement Center Physical Therapist CurrentSince Oct 22, 2024 Accepting new patients
A C Enterprises, LLC Physical Therapist CurrentSince Mar 16, 2015 Accepting new patients
Deserving Healing LLC CurrentSince Feb 25, 2024 Accepting new patients
Total Function Physical Therapy, PC Physical Therapist PastSince Aug 1, 2021 Accepting new patients

Locations

4850 Austin Bluffs Pkwy
Colorado Springs, CO 80918
Phone (719) 204-3484

1019 Physicians Dr
Charleston, SC 29414
Phone (843) 571-5366

1019 Physicians Dr
Ste C
Charleston, SC 29414
Phone (843) 480-9258

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1318377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730246400000",
    "number": "1033494828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1127 SALTWATER CIR",
            "city": "JOHNS ISLAND",
            "state": "SC",
            "postal_code": "294557959",
            "telephone_number": "518-986-3734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1019 PHYSICIANS DR STE C",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294145746",
            "telephone_number": "843-480-9258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FELDE",
        "first_name": "HEATHER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-12",
        "last_updated": "2024-10-30",
        "certification_date": "2024-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "11409",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.