Individual provider Active NPI

Kevin Lee Feldman, DPT, PT, ATC, MS

  • Physical Therapist
  • Colorado Springs, CO
National Provider Identifier
1649894031
Registry record updated Dec 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PTL.0020989 Issued in CO
Practice address
5606 N Union Blvd
Colorado Springs, CO 80918-1940
Phone
(719) 260-9611
NPI assigned
Jun 2, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 5, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X PTL.0020989 CO Primary

Addresses

Primary practice location

5606 N Union Blvd
Colorado Springs, CO 80918-1940

Mailing address

4385 Wordsworth Cir N
Colorado Springs, CO 80916-3123
Phone (505) 819-8642

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251229003170 CO Practitioner - Physical Therapist in Private Practice 0547756538 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Action Potential RLLPGroup PAC ID 7719976703, 20 clinicians

Practice addresses (Care Compare)

2955 Professional PL
Suite 200
Colorado Springs, CO 80904-8140
Phone (719) 227-7079

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
PTL.0020989COMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Action Potential RLLP Physical Therapist CurrentSince Dec 15, 2025 Accepting new patients
Action Potential RLLP Physical Therapist CurrentSince Dec 15, 2025 Accepting new patients

Locations

4105 Briargate Pkwy
Ste 300
Colorado Springs, CO 80920
Phone (719) 473-3332

4328 Austin Bluffs Pkwy
Colorado Springs, CO 80918
Phone (719) 475-0808

1612 E Pikes Peak Ave
Colorado Springs, CO 80909
Phone (719) 475-8080

328 Main St
Colorado Springs, CO 80911
Phone (719) 392-7777

2955 Professional Pl
Ste 200
Colorado Springs, CO 80904
Phone (719) 227-7079

2435 Research Pkwy
Ste 255
Colorado Springs, CO 80920
Phone (719) 260-8400

Organizations & group practices 3

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": "1591056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764892800000",
    "number": "1649894031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4385 WORDSWORTH CIR N",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809163123",
            "telephone_number": "505-819-8642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5606 N UNION BLVD",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809181940",
            "telephone_number": "719-260-9611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FELDMAN",
        "first_name": "KEVIN",
        "middle_name": "LEE",
        "credential": "DPT, PT, ATC, MS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-06-02",
        "last_updated": "2025-12-05",
        "certification_date": "2025-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "PTL.0020989",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2025; 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.