Individual provider Active NPI

Kelsey Michelle Feulner, DPT

  • Orthopedic Physical Therapist
  • Oakland, CA
National Provider Identifier
1316496854
Registry record updated Jun 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
292125 Issued in CA
Practice address
6116 Medau PL
Oakland, CA 94611-2809
Phone
(510) 339-2116
Fax
(510) 339-0647
NPI assigned
Sep 26, 2016
Last updated
Jun 13, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X 292125 CA Primary

Addresses

Primary practice location

6116 Medau PL
Oakland, CA 94611-2809

Mailing address

6116 Medau PL
Oakland, CA 94611-2809

Other practice location 1

2400 Greenwich St
San Francisco, CA 94123-3306
Phone (415) 440-4494

Other practice location 2

68 Willow Rd
Menlo Park, CA 94025-3653
Phone (866) 839-6979

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161028002115 CA Practitioner - Physical Therapist in Private Practice 4587942362 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
University of California, San Francisco School of Medicine, 2016
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1335 Stranssner Dr
Brentwood, MO 63144-1872

5800 Lonetree Blvd
Rocklin, CA 95765-3801

6116 Medau PL
Oakland, CA 94611-2809

68 Willow Rd
Menlo Park, CA 94025-3653

9365 Champs de Elysees
Forestville, CA 95436-9518

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
292125CAMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Embrace Health James Chiropractic Inc. PastSince Nov 14, 2016 Accepting new patients
Sebastopol Physical Therapy and Pilates Studio PastSince Mar 18, 2025 Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1474848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686614400000",
    "number": "1316496854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6116 MEDAU PL",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946112809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6116 MEDAU PL",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946112809",
            "telephone_number": "510-339-2116",
            "fax_number": "510-339-0647"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2400 Greenwich St",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "941233306",
            "country_code": "US",
            "telephone_number": "415-440-4494",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "68 Willow Rd",
            "address_purpose": "LOCATION",
            "city": "Menlo Park",
            "state": "CA",
            "postal_code": "940253653",
            "country_code": "US",
            "telephone_number": "866-839-6979",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FEULNER",
        "first_name": "KELSEY",
        "middle_name": "MICHELLE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-26",
        "last_updated": "2023-06-13",
        "certification_date": "2023-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "CA",
            "license": "292125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.