Individual provider Active NPI

Jeremy Eric Feldman, DPT

  • Physical Therapist
  • Nevada City, CA
National Provider Identifier
1467075937
Registry record updated May 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT298261 Issued in CA
Practice address
202 Providence Mine Rd Ste 206
Nevada City, CA 95959-2946
Phone
(530) 265-8100
NPI assigned
May 19, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2020

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 PT298261 CA Primary

Addresses

Primary practice location

202 Providence Mine Rd Ste 206
Nevada City, CA 95959-2946

Mailing address

12157 NW 32ND CT
Coral Springs, FL 33065-3211
Phone (774) 239-3960

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200610002811 CA Practitioner - Physical Therapist in Private Practice 7214358654 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

7551 Madison Ave
Citrus Heights, CA 95610-7449
Phone (916) 904-3000

Merit-based Incentive Payment System (MIPS)

Final score
90.11 of 100Reported as group
Quality
86.24
Promoting interoperability
100
Improvement activities
40
Cost
78.35

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT298261CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Regents of the University of California CurrentSince Mar 20, 2023 Accepting new patients
Regents of the University of California Current Accepting new patients
Regents of the University of California Current Accepting new patients
Anderson Physical Therapy, Inc. Physical Therapist CurrentSince May 27, 2020 Accepting new patients
Regents of the University of California CurrentSince Mar 20, 2023 Accepting new patients
Essent PRMC LP Past Accepting new patients

Locations

7551 Madison Ave
Citrus Hts, CA 95610
Phone (916) 904-3000

2660 W Covell Blvd
Davis, CA 95616
Phone (530) 747-3000

9390 Big Horn Blvd
Ste 120
Elk Grove, CA 95758

8110 Laguna Blvd
Elk Grove, CA 95758
Phone (916) 683-3955

9390 Big Horn Blvd
Elk Grove, CA 95758
Phone (916) 683-3950

202 Providence Mine Rd
Ste 206
Nevada City, CA 95959
Phone (530) 265-8100

500 University Ave
Ste 220
Sacramento, CA 95825
Phone (916) 286-8700

4860 Y St
Ste 200
Sacramento, CA 95817
Phone (916) 734-3761

1535 River Park Dr
Ste 1000
Sacramento, CA 95815
Phone (916) 286-1000

Organizations & group practices 6

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": "1589846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589846400000",
    "number": "1467075937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12157 NW 32ND CT",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330653211",
            "telephone_number": "774-239-3960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 PROVIDENCE MINE RD STE 206",
            "city": "NEVADA CITY",
            "state": "CA",
            "postal_code": "959592946",
            "telephone_number": "530-265-8100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FELDMAN",
        "first_name": "JEREMY",
        "middle_name": "ERIC",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-05-19",
        "last_updated": "2020-05-19",
        "certification_date": "2020-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT298261",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nevada City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2020; 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.