NPIMap

Individual provider Active NPI

Brian L Fellechner, D.O.

  • Physical Medicine & Rehabilitation Physician
  • Easton, PA
National Provider Identifier
1255316386
Registry record updated Mar 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
OS006405L Issued in PA
Practice address
1700 St Lukes Blvd
Suite 200
Easton, PA 18045-5670
Phone
(484) 503-0050
Fax
(484) 503-0003
NPI assigned
Dec 13, 2005
Last updated
Mar 30, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X OS006405L PA Primary

Addresses

Primary practice location

1700 St Lukes Blvd
Suite 200
Easton, PA 18045-5670

Mailing address

1700 St Lukes Blvd
Suite 200
Easton, PA 18045-5670
Phone (484) 503-0050

Other identifiers 2

IdentifierTypeStateIssuer
0012081490005MedicaidPA
00120814900005MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100612000020 PA Practitioner - Physical Medicine and Rehabilitation 0446380711 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Philadelphia College of Osteopathic Medicine, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tower Health Medical GroupGroup PAC ID 7618889213, 578 clinicians

Practice addresses (Care Compare)

2802 Papermill Rd
Wyomissing, PA 19610-1065
Phone (484) 628-2778

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.71 of 100Reported as group
Quality
73.34
Promoting interoperability
97
Improvement activities
40
Cost
78.18

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
OS006405LPAMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St. Luke's Physician Group, Inc. CurrentSince Apr 1, 2015 Accepting new patients
Tower Health Medical Group Current Accepting new patients
St. Luke's Physician Group, Inc. Current Accepting new patients
St Luke's Physician Group Inc CurrentSince Apr 1, 2015 Accepting new patients
Tower Health Medical Group CurrentSince Nov 5, 2018 Accepting new patients
Tower Health Medical Group CurrentSince Nov 5, 2018 Accepting new patients
Reading Professional Services Physical Medicine & Rehabilitation Past Accepting new patients

Locations

798 Hausman Rd
Ste 100
Allentown, PA 18104
Phone (610) 336-8260

1700 St Lukes Blvd
Ste 200
Easton, PA 18045
Phone (484) 503-0050

801 Ostrum St
Fountain Hill, PA 18015
Phone (610) 954-2200

301 S 7th Ave
Ste 130
West Reading, PA 19611
Phone (610) 988-4630

2610 Keiser Blvd
Wyomissing, PA 19610
Phone (484) 628-9127

2802 Papermill Rd
Wyomissing, PA 19610
Phone (484) 628-2571

Organizations & group practices 7

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.

Hospital & facility affiliations 9

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1134432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1427673600000",
    "number": "1255316386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 ST LUKES BLVD",
            "address_2": "SUITE 200",
            "city": "EASTON",
            "state": "PA",
            "postal_code": "180455670",
            "telephone_number": "484-503-0050",
            "fax_number": "484-503-0003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 ST LUKES BLVD",
            "address_2": "SUITE 200",
            "city": "EASTON",
            "state": "PA",
            "postal_code": "180455670",
            "telephone_number": "484-503-0050",
            "fax_number": "484-503-0003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FELLECHNER",
        "first_name": "BRIAN",
        "middle_name": "L",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-13",
        "last_updated": "2015-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "PA",
            "license": "OS006405L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0012081490005",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00120814900005",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Easton, PA

Sources for this page

Verify at the official NPI Registry.