Individual provider Active NPI

Jennie Elizabeth Feldpausch

  • Physical Therapist
  • Chapel Hill, NC
National Provider Identifier
1982123386
Registry record updated Feb 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
P21968 Issued in NC
Practice address
1516 E Franklin St Ste 104
Chapel Hill, NC 27514-2812
Phone
(919) 968-4777
NPI assigned
Sep 18, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X P21968 NC Primary

Addresses

Primary practice location

1516 E Franklin St Ste 104
Chapel Hill, NC 27514-2812

Mailing address

905 Lakeford Dr Apt 506
Morrisville, NC 27560-6455

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230602001288 NC Practitioner - Physical Therapist in Private Practice 0547627747 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Proactive Therapy of North Carolina Inc Current Accepting new patients
Proactive Therapy of North Carolina Inc CurrentSince Feb 6, 2023 Accepting new patients
Proactive Therapy of North Carolina Inc CurrentSince Feb 6, 2023 Accepting new patients
Select Physical Therapy Holdings Inc PastSince Feb 9, 2025 Accepting new patients

Locations

1516 E Franklin St
Ste 104
Chapel Hill, NC 27514
Phone (919) 968-4777

10205 US 15 501 Hwy
Unit 24
Southern Pines, NC 28387
Phone (910) 704-5430

2358 US Highway 70
Ste Ab
Swannanoa, NC 28778
Phone (828) 686-3375

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1505692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738800000000",
    "number": "1982123386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "905 LAKEFORD DR APT 506",
            "city": "MORRISVILLE",
            "state": "NC",
            "postal_code": "275606455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1516 E FRANKLIN ST STE 104",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275142812",
            "telephone_number": "919-968-4777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FELDPAUSCH",
        "first_name": "JENNIE",
        "middle_name": "ELIZABETH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-18",
        "last_updated": "2025-02-06",
        "certification_date": "2025-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P21968",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chapel Hill, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.