Kathryn Jean Felton, PT – Physical Therapist

Key facts

NPI: 1912347014
Entity type: Individual (NPI type 1)
Primary specialty: Physical Therapist 225100000X
License: 1766 (ND)
Practice address: 911 W Interstate Ave
Suite 12 BLDG 3
Bismarck, ND 58503-0955
Phone: (701) 223-8717
Fax: (701) 255-3957
NPI assigned: Jul 3, 2013
Sex: Female
Sole proprietor: No

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.

Northern Lights Physical Therapy Limited Partnership Physical Therapist · Bismarck, ND · NPI 1760613632

NPD (past) PHYSICAL THERAPIST

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): No

State licenses

License	State	Type	Specialty
1766	ND	MD	Occupational Therapist

Practice roles

Organization	Specialty	Status	New patients
Northern Lights Physical Therapy Limited Partnership	Physical Therapist	Past since Nov 9, 2009	Accepting new patients

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Physical Therapist	225100000X	1766	ND	Yes

Addresses

Primary practice location

911 W Interstate Ave
Suite 12 BLDG 3
Bismarck, ND 58503-0955

Mailing address

911 W Interstate Ave
Suite 12 BLDG 3
Bismarck, ND 58503-0955
Phone (701) 223-8717

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 3, 2013.

{
    "created_epoch": "1372809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1372809600000",
    "number": "1912347014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "911 W INTERSTATE AVE",
            "address_2": "SUITE 12 BLDG 3",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585030955",
            "telephone_number": "701-223-8717",
            "fax_number": "701-255-3957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "911 W INTERSTATE AVE",
            "address_2": "SUITE 12 BLDG 3",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585030955",
            "telephone_number": "701-223-8717",
            "fax_number": "701-255-3957"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FELTON",
        "first_name": "KATHRYN",
        "middle_name": "JEAN",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-03",
        "last_updated": "2013-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ND",
            "license": "1766",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bismarck, ND

All providers in Bismarck, ND · Physical Therapist in North Dakota

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 3, 2013. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.