Active NPI
Guiseppi Feducia, DPT
- Physical Therapist
- Winston Salem, NC
National Provider Identifier
1265084784
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 18544
- Practice address
- 1903 S Hawthorne Rd
Winston Salem, NC 27103-3916 - Phone
- (336) 718-6700
- NPI assigned
- Jul 15, 2019
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 18544 | NC | Primary |
Addresses
Primary practice location
1903 S Hawthorne Rd
Winston Salem, NC 27103-3916
Mailing address
PO Box 601791
Charlotte, NC 28260-1791
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 |
|---|---|---|---|
| 18544 | NC | MD | Physical Therapist |
| 10952 | SC | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Proaxis Therapy SC, LLC | Physical Therapist | Past | 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": "1563148800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1564963200000",
"number": "1265084784",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 601791",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282601791"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1903 S HAWTHORNE RD",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271033916",
"telephone_number": "336-718-6700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FEDUCIA",
"first_name": "GUISEPPI",
"name_prefix": "Dr.",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-07-15",
"last_updated": "2019-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NC",
"license": "18544",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Winston Salem, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.