Individual provider Active NPI

Brenda J Feller, MPT

  • Physical Therapist
  • Colorado Springs, CO
National Provider Identifier
1659683514
Registry record updated Aug 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
3255 Issued in CO
Practice address
595 Chapel Hills Dr Ste 145
Colorado Springs, CO 80920-1024
Phone
(719) 434-7340
Fax
(719) 426-9857
NPI assigned
Jul 8, 2010
Last updated
Aug 6, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 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 3255 CO Primary

Addresses

Primary practice location

595 Chapel Hills Dr Ste 145
Colorado Springs, CO 80920-1024

Mailing address

595 Chapel Hills Dr Ste 145
Colorado Springs, CO 80920-1024
Phone (719) 434-7340

Other names 1

  • Brenda J Stirm Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110616000203 CO Practitioner - Physical Therapist in Private Practice 5991992497 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Complete Physiotherapy, IncGroup PAC ID 7416229935, 5 clinicians

Practice addresses (Care Compare)

595 Chapel Hills Dr
Suite 145
Colorado Springs, CO 80920-1024
Phone (719) 434-7340

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3255COMDClinical Child & Adolescent Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Complete Physiotherapy, Inc Physical Therapist CurrentSince Sep 18, 2017 Accepting new patients
Total Function Physical Therapy, PC Physical Therapist PastSince Aug 5, 2015 Accepting new patients
Total Function Physical Therapy, PC Physical Therapist PastSince Aug 1, 2021 Accepting new patients

Locations

595 Chapel Hills Dr
Ste 145
Colorado Springs, CO 80920
Phone (719) 434-7340

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1278547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596672000000",
    "number": "1659683514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "595 CHAPEL HILLS DR STE 145",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809201024",
            "telephone_number": "719-434-7340",
            "fax_number": "719-426-9857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "595 CHAPEL HILLS DR STE 145",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809201024",
            "telephone_number": "719-434-7340",
            "fax_number": "719-426-9857"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FELLER",
        "first_name": "BRENDA",
        "middle_name": "J",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-08",
        "last_updated": "2020-08-06",
        "certification_date": "2020-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "3255",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRENDA",
            "last_name": "STIRM",
            "middle_name": "J",
            "credential": "MPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 Aug 6, 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.