Active NPI
Patricia A Felder, DC
- Sports Physician Chiropractor
- Georgetown, TX
National Provider Identifier
1164645503
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Physician Chiropractor
- License
- 4138
- Practice address
- 3007 Dawn Dr
Suite 101
Georgetown, TX 78628-2864 - Phone
- (512) 863-7000
- Fax
- (512) 863-0066
- NPI assigned
- Apr 11, 2007
- 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 |
|---|---|---|---|---|
| Sports Physician Chiropractor | 111NS0005X | 4138 | TX | Primary |
Addresses
Primary practice location
3007 Dawn Dr
Suite 101
Georgetown, TX 78628-2864
Mailing address
3007 Dawn Dr
Suite 101
Georgetown, TX 78628-2864
Phone (512) 863-7000
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 |
|---|---|---|---|
| 4138 | TX | MD | Sports Physician Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176249600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1164645503",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3007 DAWN DR",
"address_2": "SUITE 101",
"city": "GEORGETOWN",
"state": "TX",
"postal_code": "786282864",
"telephone_number": "512-863-7000",
"fax_number": "512-863-0066"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3007 DAWN DR",
"address_2": "SUITE 101",
"city": "GEORGETOWN",
"state": "TX",
"postal_code": "786282864",
"telephone_number": "512-863-7000",
"fax_number": "512-863-0066"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FELDER",
"first_name": "PATRICIA",
"middle_name": "A",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-11",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111NS0005X",
"taxonomy_group": "",
"desc": "Chiropractor, Sports Physician",
"state": "TX",
"license": "4138",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Georgetown, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.