Fenix Health, LLC

Primary specialty

Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X

Legal business name

FENIX HEALTH, LLC

Practice address

3425 Austin Bluffs Pkwy Ste 205
Colorado Springs, CO 80918-5724

Phone

(719) 599-5753

NPI assigned

Nov 26, 2018

Reactivated

Oct 14, 2021

Last updated

Dec 28, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Michael Spencer, JD

Title

Chief Operating Officer

Phone

(719) 599-5753

Specialties & licenses 2

Addresses

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

• Fenix Health DME LLC

  • Durable Medical Equipment & Medical Supplies
  • Colorado Springs, CO
  • NPI 1811468259

  Member Of

  NPD member

Locations

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

{
    "created_epoch": "1543190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672185600000",
    "number": "1811467517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3425 AUSTIN BLUFFS PKWY STE 205",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809185724",
            "telephone_number": "719-599-5753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3425 AUSTIN BLUFFS PKWY STE 205",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809185724",
            "telephone_number": "719-599-5753"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1300 Fortino Blvd",
            "address_purpose": "LOCATION",
            "city": "Pueblo",
            "state": "CO",
            "postal_code": "810082077",
            "country_code": "US",
            "telephone_number": "719-717-4700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FENIX HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-26",
        "last_updated": "2022-12-28",
        "certification_date": "2022-12-28",
        "deactivation_date": "2021-09-14",
        "reactivation_date": "2021-10-14",
        "status": "A",
        "authorized_official_last_name": "SPENCER",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "719-599-5753",
        "authorized_official_credential": "JD"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ellen Katherine Felts, PA-C
• Nicole Elizabeth Felts
• David Leroy Fenell, PHD
• Han X Feng, PHARMD
• Fenix Health DME LLC
• Aminata Fenner
• Zaida Fenner
• Donnie Fennimore, CAS
• Alana Fenton, PHD
• Candise Jordan Fenton, R.D.

• Pain Medicine (Physical Medicine & Rehabilitation) Physician in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Pain Medicine (Physical Medicine & Rehabilitation) Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 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.

Verify at the official NPI Registry.