Individual provider Active NPI

Lauren Michelle Felske, PT, DPT

  • Physical Therapist
  • Folsom, CA
National Provider Identifier
1467215756
Registry record updated Jan 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT304829 Issued in CA
Practice address
990 Riley St
Folsom, CA 95630-3064
Phone
(906) 355-1250
NPI assigned
Jan 31, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 31, 2024

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 PT304829 CA Primary

Addresses

Primary practice location

990 Riley St
Folsom, CA 95630-3064

Mailing address

5820 Fair Oaks Blvd Apt 219
Carmichael, CA 95608-5261

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240220000299 CA Practitioner - Physical Therapist in Private Practice 2163866062 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
El Dorado Physical Therapy IncGroup PAC ID 8325181480, 18 clinicians

Practice addresses (Care Compare)

990 Riley St
Folsom, CA 95630-3064
Phone (209) 576-0888

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT304829CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
El Dorado Physical Therapy, Inc Physical Therapist CurrentSince Feb 5, 2024 Accepting new patients

Locations

907 Embarcadero Dr
El Dorado Hills, CA 95762
Phone (916) 355-1250

8135 Saratoga Way
Ste 200
El Dorado Hills, CA 95762
Phone (916) 933-1090

990 Riley St
Folsom, CA 95630
Phone (916) 335-1250

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": "1706659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706659200000",
    "number": "1467215756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5820 FAIR OAKS BLVD APT 219",
            "city": "CARMICHAEL",
            "state": "CA",
            "postal_code": "956085261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "990 RILEY ST",
            "city": "FOLSOM",
            "state": "CA",
            "postal_code": "956303064",
            "telephone_number": "906-355-1250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FELSKE",
        "first_name": "LAUREN",
        "middle_name": "MICHELLE",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-01-31",
        "last_updated": "2024-01-31",
        "certification_date": "2024-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT304829",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Folsom, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2024; 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.