Active NPI
Rebecca Feldbaum, PT, DPT
- Physical Therapist
- New York, NY
National Provider Identifier
1073226486
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 049852-01
- Practice address
- 138 5TH Ave FL 2
New York, NY 10011-4367 - Phone
- (646) 490-4002
- NPI assigned
- Dec 30, 2022
- Last updated
- Jan 17, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 049852-01 | NY | Primary |
Addresses
Primary practice location
138 5TH Ave FL 2
New York, NY 10011-4367
Mailing address
138 5TH Ave FL 2
New York, NY 10011-4367
Phone (646) 490-4002
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230310001230 | NY | Practitioner - Physical Therapist in Private Practice | 1456724509 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 049852 | NY | MD | Pharmacist |
| 049852-01 | NY | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1672358400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1673913600000",
"number": "1073226486",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "138 5TH AVE FL 2",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100114367",
"telephone_number": "646-490-4002"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "138 5TH AVE FL 2",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100114367",
"telephone_number": "646-490-4002"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FELDBAUM",
"first_name": "REBECCA",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-12-30",
"last_updated": "2023-01-17",
"certification_date": "2023-01-17",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "049852-01",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.