Charles Richard Felder, PT, DPT, MBA

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT8851 Issued in CA

Practice address

2275 S Main St Ste 105
Corona, CA 92882-5303

Phone

(951) 273-7748

Fax

(951) 273-7627

NPI assigned

Oct 3, 2006

Last updated

Nov 27, 2012By the provider in NPPES

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)

Enrolled

Credentials

Master of Business Administration

State licenses

Practice roles

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.

• Ieptsir, Inc.

  • Physical Therapy Clinic/Center
  • Corona, CA
  • NPI 1164518437
  NPD (past) Authorized official
• Bodybasics Physical Therapy, Inc.

  dba Body Basics Physical Therapy

  • Physical Therapy Clinic/Center
  • Corona, CA
  • NPI 1194904243
  NPD (past)
• Bodybasics Physical Therapy, Inc.

  dba Body Basics Physical Therapy

  • Physical Therapy Clinic/Center
  • Norco, CA
  • NPI 1487651097
  NPD (past)

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1353974400000",
    "number": "1275627879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2275 S MAIN ST STE 105",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928825303",
            "telephone_number": "951-273-7748",
            "fax_number": "951-273-7627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2275 S MAIN ST STE 105",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928825303",
            "telephone_number": "951-273-7748",
            "fax_number": "951-273-7627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FELDER",
        "first_name": "CHARLES",
        "middle_name": "RICHARD",
        "credential": "PT, DPT, MBA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-03",
        "last_updated": "2012-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT8851",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chanel Briana Fauwts-Watkins
• Sara Fayad
• Zoha Fazel, LPCC
• Sayed Keivaan Fazely
• Mark C Fehn, DDS
• Leah Felema
• Felicia Williams, Licensed Clinical Social Worker Inc
• Diana Felix
• Jennifer Lynn Felix, AMFT
• Julia Felix

• Physical Therapist in Corona, CA
• Providers in Corona, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2012; 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.