Michelle R Feldhaus, MSPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

0012134 Issued in CO

Practice address

12421 San Jose Blvd Ste 100
Jacksonville, FL 32223

Phone

(904) 292-0195

Fax

(904) 292-0566

NPI assigned

Jun 27, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Michelle R Volmert Former name

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: michelle.volmert.p2@direct.athleticoltd.nextgenshare.com

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.

• Atlas Physical Therapy & Sports Medicine Inc

  • Physical Therapist
  • Jacksonville, FL
  • NPI 1508859893
  Medicare reassignment NPD
• Atlas Physical Therapy & Sports Medicine Inc

  • Physical Therapist
  • St Augustine, FL
  • NPI 1184214546
  NPD
• Socal Rehab Associates Inc

  dba Brockton Physical Therapy

  • Physical Therapist
  • Riverside, CA
  • NPI 1780662718
  NPD

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

{
    "created_epoch": "1182902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546473600000",
    "number": "1396941183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12421 SAN JOSE BLVD STE 100",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322238662",
            "telephone_number": "904-292-0195",
            "fax_number": "904-292-0566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12421 SAN JOSE BLVD STE 100",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "32223",
            "telephone_number": "904-292-0195",
            "fax_number": "904-292-0566"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2015 Clubhouse Dr",
            "address_2": "Suite102",
            "address_purpose": "LOCATION",
            "city": "Greeley",
            "state": "CO",
            "postal_code": "806343638",
            "country_code": "US",
            "telephone_number": "970-506-4066",
            "fax_number": "970-506-0410",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2015 Clubhouse Dr",
            "address_2": "Suite102",
            "address_purpose": "LOCATION",
            "city": "Greeley",
            "state": "CO",
            "postal_code": "806343638",
            "country_code": "US",
            "telephone_number": "970-506-4066",
            "fax_number": "970-506-0410",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FELDHAUS",
        "first_name": "MICHELLE",
        "middle_name": "R",
        "credential": "MSPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-27",
        "last_updated": "2019-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "0012134",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHELLE",
            "last_name": "VOLMERT",
            "middle_name": "R",
            "credential": "MSPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Megan Cooley Feiner, CCC-SLP
• Neil Feinglass, MD
• Jessica Fejdasz, LCSW
• Gloria Nikole Felder, NP
• Matthew Feldhammer, PHD
• Barbara Feldman, LMHC
• Kandis Raye Feldman, OTR/L
• Jacob Feldsher
• Gohalem Felema, M.D.
• Theodore S. Felger, M.D.

• Physical Therapist in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.