Individual provider Active NPI

Kory Paul Felker, M.P.T.

  • Physical Therapist
  • Quincy, CA
National Provider Identifier
1184612541
Registry record updated Sep 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT8023 Issued in CA
Practice address
78 E Central Ave
Suite 2
Quincy, CA 95971-9718
Phone
(530) 283-2202
Fax
(530) 283-2204
NPI assigned
Oct 10, 2005
Last updated
Sep 12, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 12, 2008

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 PT8023 CA Primary

Addresses

Primary practice location

78 E Central Ave
Suite 2
Quincy, CA 95971-9718

Mailing address

78 E Central Ave
Suite 2
Quincy, CA 95971-9718
Phone (530) 283-2202

Other identifiers 2

IdentifierTypeStateIssuer
30-0335817OtherCATAX I.D. NUMBER
PT 28023OtherCAPHYSICAL THERAPY LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060419000359 CA Practitioner - Physical Therapist in Private Practice 3375565849 Reassigns benefits to 1 organization
Practice locations: Quincy, CA

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Plumas Physical Therapy IncGroup PAC ID 7214277185, 2 clinicians

Practice addresses (Care Compare)

8989 Hwy 89
Suite 1
Blairsden Graeagle, CA 96103
Phone (530) 836-1178

Merit-based Incentive Payment System (MIPS)

Final score
84.75 of 100Reported as group
Quality
83.69
Improvement activities
40
Cost
70.9

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT8023CAMDPhysical Therapist
28023CAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Plumas Physical Therapy, Inc Physical Therapist CurrentSince Apr 1, 2019 Accepting new patients

Locations

78 E Central Ave
Ste 2
Quincy, CA 95971
Phone (530) 283-2202

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1128902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1221177600000",
    "number": "1184612541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "78 E CENTRAL AVE",
            "address_2": "SUITE 2",
            "city": "QUINCY",
            "state": "CA",
            "postal_code": "959719718",
            "telephone_number": "530-283-2202",
            "fax_number": "530-283-2204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "78 E CENTRAL AVE",
            "address_2": "SUITE 2",
            "city": "QUINCY",
            "state": "CA",
            "postal_code": "959719718",
            "telephone_number": "530-283-2202",
            "fax_number": "530-283-2204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FELKER",
        "first_name": "KORY",
        "middle_name": "PAUL",
        "name_prefix": "Mr.",
        "credential": "M.P.T.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-10",
        "last_updated": "2008-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT8023",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX I.D. NUMBER",
            "identifier": "30-0335817",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICAL THERAPY LICENSE",
            "identifier": "PT 28023",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Quincy, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.