Carly Feltz

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT31203 Issued in FL

Practice address

1401 8TH Ave W
Suite a
Palmetto, FL 34221-3119

Phone

(941) 722-4000

Fax

(941) 722-4700

NPI assigned

Aug 19, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in WI, FL2 enrollments

Enrollment records 2

Specialty

Physical Therapist in Private Practice

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Vero Womens CareGroup PAC ID 8123499704, 6 clinicians

Doctor of Womens Health LLCGroup PAC ID 6305187998, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Networks

• Freedom Health HMO Network

Interoperability endpoints

• Direct secure messaging: carly.feltz.1@27552.direct.athenahealth.com

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.

• Doctor of Women's Health LLC

  • Physical Therapist
  • Melbourne, FL
  • NPI 1508399619
  Medicare reassignment Care Compare group NPD
• Vero Women's Care

  • Gynecology Physician
  • Vero Beach, FL
  • NPI 1093438111
  Medicare reassignment Care Compare group NPD
• Marshfield Clinic Inc

  dba Marshfield Clinic Florida Teleradiology/Telehealth

  • Clinic/Center
  • Marshfield, WI
  • NPI 1952347981
  Medicare reassignment NPD
• MCHS Hospitals Inc

  dba Marshfield Medical Center

  • Clinic/Center
  • Marshfield, WI
  • NPI 1093221434
  Medicare reassignment NPD
• Orthopedic and Spine Therapy of Menasha SC

  • Physical Therapist
  • Kaukauna, WI
  • NPI 1831260611
  Medicare reassignment NPD
• Evolve Pelvic Wellness LLC

  • Physical Therapist
  • Wausau, WI
  • NPI 1518601897
  NPD Authorized official
• MCHS Hospitals Inc

  dba Marshfield Medical Center - Eau Claire Cancer Center

  • Durable Medical Equipment & Medical Supplies
  • Eau Claire, WI
  • NPI 1558230847
  NPD
• Orthopedic & Spine Therapy of Menasha SC

  • Physical Therapist
  • Appleton, WI
  • NPI 1932136322
  NPD
• Fitness Quest - Venice LLC

  • Physical Therapy Clinic/Center
  • Lakewood Ranch, FL
  • NPI 1033129895

  Physical Therapist

  NPD (past)
• Fitness Quest - Venice LLC

  • Durable Medical Equipment & Medical Supplies
  • Longboat Key, FL
  • NPI 1427936889
  NPD (past)

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

{
    "created_epoch": "1439942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473724800000",
    "number": "1902272487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 8TH AVE W",
            "address_2": "SUITE A",
            "city": "PALMETTO",
            "state": "FL",
            "postal_code": "342213119",
            "telephone_number": "941-722-4000",
            "fax_number": "941-722-4700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 8TH AVE W",
            "address_2": "SUITE A",
            "city": "PALMETTO",
            "state": "FL",
            "postal_code": "342213119",
            "telephone_number": "941-722-4000",
            "fax_number": "941-722-4700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FELTZ",
        "first_name": "CARLY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-19",
        "last_updated": "2016-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "13033-24",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT31203",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Onyema A. Ezeanya, PHARMD.
• Faith Paharmacy, Inc
• Faith Pharmacy, Inc
• Faith Pharmacy, Inc
• Steven C Favia, M.AT, ATC, LAT
• Jennifer Lynn Ferro, OTD, OTR/L
• Adri Fidani
• Maura B Finnerty, PTA
• First Response Transport, LLC
• Cynthia A Floore

• Physical Therapist in Palmetto, FL
• Providers in Palmetto, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2016; 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.