Active NPI
Kenneth Ontario Felder, PT, DPT
- Physical Therapist
- Clemson, SC
National Provider Identifier
1598294787
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 8604
- Practice address
- 101 Chapman Hill Rd
Clemson, SC 29631-2194 - Phone
- (864) 653-4071
- Fax
- (864) 653-4074
- NPI assigned
- Jun 9, 2017
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 8604 | SC | Primary |
| Neurology Physical Therapist | 2251N0400X | 8604 | SC |
Addresses
Primary practice location
101 Chapman Hill Rd
Clemson, SC 29631-2194
Mailing address
300 E McBee Ave FL 4
Greenville, SC 29601-2842
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| TH3575 | Medicaid | SC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8604 | SC | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1496966400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1670371200000",
"number": "1598294787",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 E MCBEE AVE FL 4",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296012842"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 CHAPMAN HILL RD",
"city": "CLEMSON",
"state": "SC",
"postal_code": "296312194",
"telephone_number": "864-653-4071",
"fax_number": "864-653-4074"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FELDER",
"first_name": "KENNETH",
"middle_name": "ONTARIO",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-06-09",
"last_updated": "2022-12-07",
"certification_date": "2022-12-07",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "SC",
"license": "8604",
"primary": true
},
{
"code": "2251N0400X",
"taxonomy_group": "",
"desc": "Physical Therapist, Neurology",
"state": "SC",
"license": "8604",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "TH3575",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Clemson, SC
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- F.M.a., P.a. (Family Medicine Associates)
- Family Vision of Anderson
- James E Feiste, MD
- Timothy Edward Fenlon, MD
- Suzanne S Figliola, MS, RD, LD
- Madison Fisher, CCC-SLP
- Yesenia Isabel Fisher
- Foothills Community Health Care, Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.