Brian Feldt, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA.0013169 Issued in CO

Practice address

15909 Jackson Creek Pkwy
Suite 110
Monument, CO 80132-8693

Phone

(719) 481-0897

Fax

(719) 481-0022

NPI assigned

Feb 21, 2017

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

• Orthopedic Rehabilitation Associates PC

  • Physical Therapist
  • Colorado Springs, CO
  • NPI 1801907662
  NPD (past)
• Panorama Orthopedics and Spine Center PC

  • Orthopaedic Surgery Physician
  • Golden, CO
  • NPI 1295787950
  NPD (past)

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

{
    "created_epoch": "1487635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487635200000",
    "number": "1184163230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3605 AUSTIN BLUFFS PKWY",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809186630",
            "telephone_number": "719-265-6601",
            "fax_number": "719-265-6649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15909 JACKSON CREEK PKWY",
            "address_2": "SUITE 110",
            "city": "MONUMENT",
            "state": "CO",
            "postal_code": "801328693",
            "telephone_number": "719-481-0897",
            "fax_number": "719-481-0022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FELDT",
        "first_name": "BRIAN",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-02-21",
        "last_updated": "2017-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "CO",
            "license": "PTA.0013169",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Empowering Independence, LLC
• Kalene Mears Ethington, FNP-C
• Roger D Ewer Jr., PHARMD
• Kimberly Jo Fakler, MA OTR/L
• Jennifer Marie Farmer, ACUPUNCTURIST
• Finding Wisdom Within, PLLC
• Tyler Finke, DPT
• Victoria Elise Fleischmann, LPC
• Joshue Flores
• Miquela Gabrielle Flores, MA, BCBA

• Physical Therapy Assistant in Monument, CO
• Providers in Monument, CO by specialty
• Physical Therapy Assistant in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 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.

Verify at the official NPI Registry.