Joshua J Feldbauer, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC011602 Issued in PA

Practice address

450 Windmere Dr Ste 250
State College, PA 16801-7646

Phone

(814) 954-5095

Fax

(814) 308-8369

NPI assigned

Jan 11, 2021

Last updated

Aug 29, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Specialty

Chiropractic

Education

New York Chiropractic College, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Backcountry Spine and Sport IncGroup PAC ID 9638591514, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Backcountry Spine and Sport Inc

  • Chiropractor
  • Lemont, PA
  • NPI 1881232056
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1610323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724889600000",
    "number": "1730778283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 WINDMERE DR STE 250",
            "city": "STATE COLLEGE",
            "state": "PA",
            "postal_code": "168017646",
            "telephone_number": "814-954-5095",
            "fax_number": "814-308-8369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 WINDMERE DR STE 250",
            "city": "STATE COLLEGE",
            "state": "PA",
            "postal_code": "168017646",
            "telephone_number": "814-954-5095",
            "fax_number": "814-308-8369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FELDBAUER",
        "first_name": "JOSHUA",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-01-11",
        "last_updated": "2024-08-29",
        "certification_date": "2024-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC011602",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ryan D Farley, PA-C
• Ola Farrag
• Craig Sherman Feaster, M.D.
• Eric James Feese, MD
• Michael J Feffer, MD
• Angela M Fenush, DPT
• Jason Ferderber
• Sara B Ferguson, MD
• Heather Rae Ferlitch, DC, MS, LAC
• Matthew Julian Fernandez, PHARMD

• Chiropractor in State College, PA
• Providers in State College, PA by specialty
• Chiropractor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 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.