Individual provider Active NPI

Cindy Kay Fiegenbaum, CPTA

  • Physical Therapy Assistant
  • Dodge City, KS
National Provider Identifier
1629162284
Registry record updated Aug 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
14-00321 Issued in KS
Practice address
1909 N. 14TH Street, Suite C
Dodge City, KS 67801-2364
Phone
(620) 338-8633
Fax
(620) 338-8121
NPI assigned
Oct 3, 2006
Last updated
Aug 5, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 14-00321 KS Primary

Addresses

Primary practice location

1909 N. 14TH Street, Suite C
Dodge City, KS 67801-2364

Mailing address

500 Sunset Court
Dodge City, KS 67801-7404
Phone (620) 225-3907

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
14-00321KSMDPhysical Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375660800000",
    "number": "1629162284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 SUNSET COURT",
            "city": "DODGE CITY",
            "state": "KS",
            "postal_code": "678017404",
            "telephone_number": "620-225-3907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1909 N. 14TH STREET, SUITE C",
            "city": "DODGE CITY",
            "state": "KS",
            "postal_code": "678012364",
            "telephone_number": "620-338-8633",
            "fax_number": "620-338-8121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FIEGENBAUM",
        "first_name": "CINDY",
        "middle_name": "KAY",
        "credential": "CPTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-03",
        "last_updated": "2013-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "KS",
            "license": "14-00321",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dodge City, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.