Fedgeria Eidens

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

583 Issued in NC

Practice address

320 Park Ave Apt 5
Davidson, NC 28036-5552

Phone

(704) 636-5812

NPI assigned

Oct 7, 2014

Last updated

Oct 7, 2014By 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 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1412640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1412640000000",
    "number": "1215330071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 PARK AVE APT 5",
            "city": "DAVIDSON",
            "state": "NC",
            "postal_code": "280365552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 PARK AVE APT 5",
            "city": "DAVIDSON",
            "state": "NC",
            "postal_code": "280365552",
            "telephone_number": "704-636-5812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EIDENS",
        "first_name": "FEDGERIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-10-07",
        "last_updated": "2014-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NC",
            "license": "583",
            "primary": true
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NC",
            "license": "583",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alaina Duncan, NP
• Easton Consultant
• Tracey Easton, LMSW
• Kelly Marie Edens
• Hannah Hughes Ehasz, MD
• Elevated Psychological Services PLLC
• Terri Ellerbe-Graves, LPCA
• Emergency Training Solutions of the Carolinas, LLC
• Alison Conrad Emerick, MS, OTR L
• Benjamin James Epstein, DMSC, PA-C

• Physical Therapy Assistant in Davidson, NC
• Providers in Davidson, NC by specialty
• Physical Therapy Assistant in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2014; 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.