Individual provider Active NPI

Courtney Fedie, OTR

  • Occupational Therapist
  • Rice Lake, WI
National Provider Identifier
1003328469
Registry record updated Jun 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
5771 Issued in WI
Practice address
2200 Cedar Crest Dr Ste a
Rice Lake, WI 54868-5500
Phone
(715) 455-0408
NPI assigned
Oct 25, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 5771 WI Primary

Addresses

Primary practice location

2200 Cedar Crest Dr Ste a
Rice Lake, WI 54868-5500

Mailing address

2200 Cedar Crest Dr Ste a
Rice Lake, WI 54868-5500
Phone (715) 855-0408

Other practice location 1

1151 E Division Ave
Barron, WI 54812-1201
Phone (715) 637-3610

Other practice location 2

2600 S Wisconsin Ave Ste A
Rice Lake, WI 54868-7527
Phone (715) 236-3610

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180509000111 WI Practitioner - Occupational Therapist in Private Practice 5991069445 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Chippewa Valley Orthopedics and Sports Medicine Clinic SCGroup PAC ID 7618948399, 30 clinicians

Practice addresses (Care Compare)

2200 Cedarcrest Dr
Suite a
Rice Lake, WI 54868-6006
Phone (715) 537-4550

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5771WIMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Lakeland Physical Therapy L.L.C. Occupational Therapist CurrentSince Jun 13, 2024 Accepting new patients
Mayo Clinic Health System-Northwest Wisconsin Region, Inc. CurrentSince Jan 12, 2022 Accepting new patients
Chippewa Valley Orthopedics and Sports Medicine Clinic SC Current Accepting new patients
Chippewa Valley Orthopedics and Sports Medicine Clinic, SC CurrentSince Jan 2, 2025 Accepting new patients
Midwest Physical Therapy, Inc Occupational Therapist CurrentSince Oct 20, 2022 Accepting new patients
Optimum Therapies of Rice Lake Occupational Therapist CurrentSince Jun 25, 2025 Accepting new patients
Optimum Therapies of Rice Lake PastSince Jun 25, 2025 Accepting new patients

Locations

200 1st St SW
Rochester, MN 55905
Phone (507) 266-4850

1200 Oakleaf Way
Ste A
Altoona, WI 54720
Phone (800) 322-1747

1151 E Division Ave
Barron, WI 54812
Phone (715) 236-3610

1731 17th Ave
Bloomer, WI 54724
Phone (715) 568-4669

110 Park Dr
Ste 100
Colfax, WI 54730
Phone (715) 568-4669

27477 State Highway 64
Ste C
Cornell, WI 54732
Phone (715) 239-0555

733 W Clairemont Ave
Eau Claire, WI 54701
Phone (715) 838-3806

1400 Bellinger St
Eau Claire, WI 54703
Phone (715) 838-3311

2200 Cedar Crest Dr
Ste A
Rice Lake, WI 54868
Phone (715) 455-0408

2600 S Wisconsin Ave
Ste A
Rice Lake, WI 54868
Phone (715) 236-3610

Organizations & group practices 8

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": "1508889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750809600000",
    "number": "1003328469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 CEDAR CREST DR STE A",
            "city": "RICE LAKE",
            "state": "WI",
            "postal_code": "548685500",
            "telephone_number": "715-855-0408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 CEDAR CREST DR STE A",
            "city": "RICE LAKE",
            "state": "WI",
            "postal_code": "548685500",
            "telephone_number": "715-455-0408"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1151 E Division Ave",
            "address_purpose": "LOCATION",
            "city": "Barron",
            "state": "WI",
            "postal_code": "548121201",
            "country_code": "US",
            "telephone_number": "715-637-3610",
            "fax_number": "715-537-4610",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2600 S Wisconsin Ave Ste A",
            "address_purpose": "LOCATION",
            "city": "Rice Lake",
            "state": "WI",
            "postal_code": "548687527",
            "country_code": "US",
            "telephone_number": "715-236-3610",
            "fax_number": "715-236-3615",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FEDIE",
        "first_name": "COURTNEY",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-25",
        "last_updated": "2025-06-25",
        "certification_date": "2025-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WI",
            "license": "5771",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rice Lake, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2025; 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.