Active NPI
Nicholas Ryan Felipe, PT, DPT
- Physical Therapist
- Pasadena, CA
National Provider Identifier
1891552501
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 39079
- Practice address
- 120 Bellefontaine St
Pasadena, CA 91105-3102 - Phone
- (626) 793-5114
- NPI assigned
- Feb 29, 2024
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 39079 | CA | Primary |
Addresses
Primary practice location
120 Bellefontaine St
Pasadena, CA 91105-3102
Mailing address
4956 Castana Ave Apt 32
Lakewood, CA 90712-8004
Phone (562) 754-0714
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 39079 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Interface Rehab, Inc. | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Assisted Living Facility
- Healdsburg, CA
- NPI 1053178244
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1709164800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1709164800000",
"number": "1891552501",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4956 CASTANA AVE APT 32",
"city": "LAKEWOOD",
"state": "CA",
"postal_code": "907128004",
"telephone_number": "562-754-0714"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "120 BELLEFONTAINE ST",
"city": "PASADENA",
"state": "CA",
"postal_code": "911053102",
"telephone_number": "626-793-5114"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FELIPE",
"first_name": "NICHOLAS",
"middle_name": "RYAN",
"name_prefix": "Dr.",
"credential": "PT, DPT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-02-29",
"last_updated": "2024-02-29",
"certification_date": "2024-02-29",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "39079",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pasadena, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.