Active NPI
Felipe Fidalgo, PT, DPT
- Orthopedic Physical Therapist
- Concord, NC
National Provider Identifier
1053792556
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- P16388
- Practice address
- 236 Le Phillip CT NE
Concord, NC 28025-1917 - Phone
- (704) 707-4282
- Fax
- (704) 795-4389
- NPI assigned
- Jun 11, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | 1259603 | TX | |
| Orthopedic Physical Therapist | 2251X0800X | P16388 | NC | Primary |
Addresses
Primary practice location
236 Le Phillip CT NE
Concord, NC 28025-1917
Mailing address
5960 Fairview Rd
Ste 250
Charlotte, NC 28210-0199
Phone (704) 707-4282
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1259603 | TX | MD | Orthopedic Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1433980800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1500422400000",
"number": "1053792556",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5960 FAIRVIEW RD",
"address_2": "STE 250",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282100199",
"telephone_number": "704-707-4282",
"fax_number": "704-795-4389"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "236 LE PHILLIP CT NE",
"city": "CONCORD",
"state": "NC",
"postal_code": "280251917",
"telephone_number": "704-707-4282",
"fax_number": "704-795-4389"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FIDALGO",
"first_name": "FELIPE",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-06-11",
"last_updated": "2017-07-19",
"status": "A"
},
"taxonomies": [
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "TX",
"license": "1259603",
"primary": false
},
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "NC",
"license": "P16388",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Concord, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.