Provider Demographics
NPI:1437246915
Name:FEATHERS, TODD A (DO)
Entity Type:Individual
Prefix:DR
First Name:TODD
Middle Name:A
Last Name:FEATHERS
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:205 NEWTOWN RD
Mailing Address - Street 2:SUITE 104
Mailing Address - City:WARMINSTER
Mailing Address - State:PA
Mailing Address - Zip Code:18974-5206
Mailing Address - Country:US
Mailing Address - Phone:215-674-3337
Mailing Address - Fax:215-674-4247
Practice Address - Street 1:205 NEWTOWN RD
Practice Address - Street 2:SUITE 104
Practice Address - City:WARMINSTER
Practice Address - State:PA
Practice Address - Zip Code:18974-5206
Practice Address - Country:US
Practice Address - Phone:215-674-3337
Practice Address - Fax:215-674-4247
Is Sole Proprietor?:No
Enumeration Date:2006-10-06
Last Update Date:2012-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOS015172208100000X
NJ25MB08798000208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA102496847Medicaid
PA183832Medicare PIN