Individual provider Active NPI

Bennett Felder

  • Physical Therapist
  • Farmingdale, NY
National Provider Identifier
1184378754
Registry record updated May 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
048511 Issued in NY
Practice address
814 Fulton St Ste B
Farmingdale, NY 11735-3638
Phone
(516) 420-1927
Fax
(516) 420-1952
NPI assigned
Feb 11, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 18, 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 048511 NY Primary

Addresses

Primary practice location

814 Fulton St Ste B
Farmingdale, NY 11735-3638

Mailing address

12 Dogwood HL
Glen Head, NY 11545-3205
Phone (516) 732-9892

Other practice location 1

300 Robbins Ln
Syosset, NY 11791-6012
Phone (516) 513-1510

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

Practice roles

OrganizationSpecialtyStatusNew patients
Lifetime Physical Therapy and Chiropractic Rehabilitation PLLC Physical Therapist PastSince Feb 1, 2022 Accepting new patients

Organizations & group practices 1

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": "1644537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652832000000",
    "number": "1184378754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 DOGWOOD HL",
            "city": "GLEN HEAD",
            "state": "NY",
            "postal_code": "115453205",
            "telephone_number": "516-732-9892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "814 FULTON ST STE B",
            "city": "FARMINGDALE",
            "state": "NY",
            "postal_code": "117353638",
            "telephone_number": "516-420-1927",
            "fax_number": "516-420-1952"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 Robbins Ln",
            "address_purpose": "LOCATION",
            "city": "Syosset",
            "state": "NY",
            "postal_code": "117916012",
            "country_code": "US",
            "telephone_number": "516-513-1510",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FELDER",
        "first_name": "BENNETT",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-02-11",
        "last_updated": "2022-05-18",
        "certification_date": "2022-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "048511",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmingdale, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2022; 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.