Individual provider Active NPI

Arlene Raymundo Felismino, PT

  • Physical Therapist
  • Atlanta, GA
National Provider Identifier
1275893018
Registry record updated May 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT003464 Issued in GA
Practice address
5455 Glenridge Dr NE
Atlanta, GA 30342-4968
Phone
(404) 252-9984
Fax
(404) 252-9985
NPI assigned
May 28, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2012

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 PT003464 GA Primary

Addresses

Primary practice location

5455 Glenridge Dr NE
Atlanta, GA 30342-4968

Mailing address

2222 Sullivan TRL
Easton, PA 18040-7958
Phone (800) 944-9782

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

NPI Registry JSON

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

{
    "created_epoch": "1338163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1338163200000",
    "number": "1275893018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2222 SULLIVAN TRL",
            "city": "EASTON",
            "state": "PA",
            "postal_code": "180407958",
            "telephone_number": "800-944-9782",
            "fax_number": "610-438-2046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5455 GLENRIDGE DR NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303424968",
            "telephone_number": "404-252-9984",
            "fax_number": "404-252-9985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FELISMINO",
        "first_name": "ARLENE",
        "middle_name": "RAYMUNDO",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-28",
        "last_updated": "2012-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT003464",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 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.