Active NPI
Charlotte Feichtmann, PT,PCS
- Pediatric Physical Therapist
- Huntington Beach, CA
National Provider Identifier
1295891265
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Physical Therapist
- License
- 9061
- Practice address
- 18700 Beach Blvd
Suite 120
Huntington Beach, CA 92648-2030 - Phone
- (714) 962-6760
- Fax
- (714) 962-5961
- NPI assigned
- Dec 27, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Pediatric Physical Therapist | 2251P0200X | 9061 | CA | Primary |
Addresses
Primary practice location
18700 Beach Blvd
Suite 120
Huntington Beach, CA 92648-2030
Mailing address
18700 Beach Blvd
Suite 120
Huntington Beach, CA 92648-2030
Phone (714) 962-6760
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| OPT90610 | Other | CA | BLUE SHIELD PROVIDER NUMB |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9061 | CA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cornerstone Therapies | Pediatrics | 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": "1167177600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1295891265",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18700 BEACH BLVD",
"address_2": "SUITE 120",
"city": "HUNTINGTON BEACH",
"state": "CA",
"postal_code": "926482030",
"telephone_number": "714-962-6760",
"fax_number": "714-962-5961"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18700 BEACH BLVD",
"address_2": "SUITE 120",
"city": "HUNTINGTON BEACH",
"state": "CA",
"postal_code": "926482030",
"telephone_number": "714-962-6760",
"fax_number": "714-962-5961"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FEICHTMANN",
"first_name": "CHARLOTTE",
"credential": "PT,PCS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-27",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2251P0200X",
"taxonomy_group": "",
"desc": "Physical Therapist, Pediatrics",
"state": "CA",
"license": "9061",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD PROVIDER NUMB",
"identifier": "OPT90610",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Huntington Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.