Individual provider Active NPI

Kathleen Jane Felder, MPT

  • Physical Therapist
  • Liberty Hill, TX
National Provider Identifier
1043488729
Registry record updated Apr 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1167802 Issued in TX
Practice address
15050 W State Highway 29 Ste 150
Liberty Hill, TX 78642-2357
Phone
(512) 789-7454
NPI assigned
Feb 14, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2022

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 1167802 TX Primary

Addresses

Primary practice location

15050 W State Highway 29 Ste 150
Liberty Hill, TX 78642-2357

Mailing address

15050 W State Highway 29 Ste 150
Liberty Hill, TX 78642-2357
Phone (512) 789-7454

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091130000571 TX Practitioner - Physical Therapist in Private Practice 8123167475 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

15050 W State Hwy 29
Suite 150
Liberty Hill, TX 78642-2478
Phone (512) 548-6204

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Seton Family of Doctors CurrentSince Mar 21, 2022 Accepting new patients
Seton Family of Doctors CurrentSince Mar 21, 2022 Accepting new patients
Seton Family of Doctors Current Accepting new patients
Liberty Hill Physical Therapy, PLLC Physical Therapist CurrentSince Oct 4, 2022 Accepting new patients

Locations

1400 N Interstate 35
Ste 300
Austin, TX 78701
Phone (512) 324-8300

1401 Medical Pkwy
Ste C100
Cedar Park, TX 78613

6001 Kyle Pkwy
Kyle, TX 78640
Phone (512) 504-5000

15050 W State Highway 29
Ste 150
Liberty Hill, TX 78642
Phone (512) 548-6204

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1202947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650585600000",
    "number": "1043488729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15050 W STATE HIGHWAY 29 STE 150",
            "city": "LIBERTY HILL",
            "state": "TX",
            "postal_code": "786422357",
            "telephone_number": "512-789-7454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15050 W STATE HIGHWAY 29 STE 150",
            "city": "LIBERTY HILL",
            "state": "TX",
            "postal_code": "786422357",
            "telephone_number": "512-789-7454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FELDER",
        "first_name": "KATHLEEN",
        "middle_name": "JANE",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-02-14",
        "last_updated": "2022-04-22",
        "certification_date": "2022-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1167802",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Liberty Hill, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2022; 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.