Individual provider Active NPI

Nicole Lynn Feliksa, P.T.

  • Orthopedic Physical Therapist
  • Plains, MT
National Provider Identifier
1912253204
Registry record updated Jun 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
2275 Issued in MT
Practice address
12 Mt Highway 28
Plains, MT 59859-9601
Phone
(406) 826-4383
Fax
(406) 826-4394
NPI assigned
Jul 24, 2012
Last updated
Jun 15, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X 2275 MT Primary

Addresses

Primary practice location

12 Mt Highway 28
Plains, MT 59859-9601

Mailing address

23 Lyla LN
Plains, MT 59859-9204
Phone (406) 826-8413

Other practice location 1

23 Lyla Ln
Plains, MT 59859-9204
Phone (406) 826-8413

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220214002310 MT Practitioner - Physical Therapist in Private Practice 1850784968 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Plains Physical Therapy PCGroup PAC ID 8022178292, 6 clinicians

Practice addresses (Care Compare)

12 Mt Hwy 28
Plains, MT 59859-9601
Phone (406) 826-4383

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4069AZMDVeterinarian
2275MTMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Plains Physical Therapy PC CurrentSince Dec 1, 2021 Accepting new patients
Vibrant Sound Works, Inc PastSince Dec 1, 2021 Accepting new patients

Organizations & group practices 2

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": "1343088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655251200000",
    "number": "1912253204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 LYLA LN",
            "city": "PLAINS",
            "state": "MT",
            "postal_code": "598599204",
            "telephone_number": "406-826-8413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 MT HIGHWAY 28",
            "city": "PLAINS",
            "state": "MT",
            "postal_code": "598599601",
            "telephone_number": "406-826-4383",
            "fax_number": "406-826-4394"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "23 Lyla Ln",
            "address_purpose": "LOCATION",
            "city": "Plains",
            "state": "MT",
            "postal_code": "598599204",
            "country_code": "US",
            "telephone_number": "406-826-8413",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FELIKSA",
        "first_name": "NICOLE",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-24",
        "last_updated": "2022-06-15",
        "certification_date": "2022-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "MT",
            "license": "2275",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plains, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2022; 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.