Matthew Douglas Fedorchak

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

045146-01 Issued in NY

Practice address

357 Main St
Armonk, NY 10504-1860

Phone

(914) 273-0800

NPI assigned

Dec 4, 2019

Last updated

Dec 4, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Enrolled in NY, SC2 enrollments

Enrollment records 2

Specialty

Physical Therapist in Private Practice

Education

New York Medical College, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Private Therapy Services LLCGroup PAC ID 7810978616, 16 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Private Therapy Services LLC

  • Physical Therapist
  • Charleston, SC
  • NPI 1346381092
  Medicare reassignment Care Compare group NPD
• Armonk Physical and Occupational Therapy, PLLC

  • Sports Medicine (Physical Medicine & Rehabilitation) Physician
  • Armonk, NY
  • NPI 1841412806
  Medicare reassignment NPD
• Carolina Sportscare and Physical Therapy

  • Physical Therapist
  • Beaufort, SC
  • NPI 1659306785
  Medicare reassignment NPD
• Fox Rehabilitation Services of South Carolina, LLC

  • Physical Therapist
  • Lexington, SC
  • NPI 1902133689
  Medicare reassignment NPD

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

{
    "created_epoch": "1575417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575417600000",
    "number": "1114564531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "357 MAIN ST",
            "city": "ARMONK",
            "state": "NY",
            "postal_code": "105041860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "357 MAIN ST",
            "city": "ARMONK",
            "state": "NY",
            "postal_code": "105041860",
            "telephone_number": "914-273-0800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FEDORCHAK",
        "first_name": "MATTHEW",
        "middle_name": "DOUGLAS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-12-04",
        "last_updated": "2019-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "045146-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Patricia Duff
• Lawrence Edwards, PHD, LMHC
• Samantha Elana Epstein, M.D.
• Justin Robert Fagan
• Robert L Fay, PT, MHSC,OCS,STC
• Randi Salzman Feldman, M.D.
• Katherine Ferranti, LMT
• Focal Physical Therapy PLLC
• Sharon Fong, D.P.T.
• Danielle Gamar, LCSW-R

• Physical Therapist in Armonk, NY
• Providers in Armonk, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2019; 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.