Pamela Kaye Fedders, P.T;

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

0545 Issued in SD

Practice address

1800 Dakota St
Yankton, SD 57078-1962

Phone

(605) 260-9431

NPI assigned

Oct 14, 2008

Last updated

Oct 14, 2008By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1223942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1223942400000",
    "number": "1003068719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 DAKOTA ST",
            "city": "YANKTON",
            "state": "SD",
            "postal_code": "570781962",
            "telephone_number": "605-260-9431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 DAKOTA ST",
            "city": "YANKTON",
            "state": "SD",
            "postal_code": "570781962",
            "telephone_number": "605-260-9431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FEDDERS",
        "first_name": "PAMELA",
        "middle_name": "KAYE",
        "name_prefix": "Mrs.",
        "credential": "P.T;",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-10-14",
        "last_updated": "2008-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SD",
            "license": "0545",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Family Medicine Clinic of Yankton Professional LLC
• Susan E Fanta, MD
• Todd Alan Farnham, AU.D., CCC-A
• Debra K Farver, PHARMD
• Max L Farver, MD
• Robert T Ferrell, MD
• Aaron Feser
• James Joseph Fillaus, CNP
• Jennifer Ann Fillaus, D.O.
• First Chiropractic Centers, PC (First Chiropractic Center)

• Physical Therapist in Yankton, SD
• Providers in Yankton, SD by specialty
• Physical Therapist in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.