Active NPI
Paul Joseph Feuerborn, P.T.
- Orthopedic Physical Therapist
- Ventura, CA
National Provider Identifier
1417928425
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- PT10311
- Practice address
- 2895 Loma Vista Rd
Suite B
Ventura, CA 93003-1572 - Phone
- (805) 643-4093
- Fax
- (805) 643-8401
- NPI assigned
- Jan 28, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | PT10311 | CA | Primary |
Addresses
Primary practice location
2895 Loma Vista Rd
Suite B
Ventura, CA 93003-1572
Mailing address
1225 Sunnycrest Ave
Ventura, CA 93003-1212
Phone (805) 642-3778
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT10311 | CA | MD | Orthopedic Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pacific Therapy Services, Inc | Orthopedic | Current | Accepting new patients |
Locations
400 E Santa Barbara St
Ste B
Santa Paula, CA 93060
Phone (805) 525-6402
5550 Telegraph Rd
Ste A
Ventura, CA 93003
Phone (805) 222-0136
2895 Loma Vista Rd
Ste B
Ventura, CA 93003
Phone (805) 320-7225
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": "1138406400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1417928425",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1225 SUNNYCREST AVE",
"city": "VENTURA",
"state": "CA",
"postal_code": "930031212",
"telephone_number": "805-642-3778"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2895 LOMA VISTA RD",
"address_2": "SUITE B",
"city": "VENTURA",
"state": "CA",
"postal_code": "930031572",
"telephone_number": "805-643-4093",
"fax_number": "805-643-8401"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FEUERBORN",
"first_name": "PAUL",
"middle_name": "JOSEPH",
"name_prefix": "Mr.",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-28",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "CA",
"license": "PT10311",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ventura, 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.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.