Autumn Fettkether, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

119534 Issued in IA

Practice address

211 W 6TH St
Cedar Falls, IA 50613-2859

Phone

(319) 277-3166

Fax

(319) 266-4846

NPI assigned

Jun 14, 2023

Sex

Female

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 IA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Agape Therapy Clinic PCGroup PAC ID 4486659851, 12 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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 and National Provider Directory roles.

• Agape Therapy Clinic PC

  • Physical Therapist
  • Cedar Falls, IA
  • NPI 1780687939
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1686700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689897600000",
    "number": "1235813627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1107",
            "city": "CEDAR FALLS",
            "state": "IA",
            "postal_code": "506130049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 W 6TH ST",
            "city": "CEDAR FALLS",
            "state": "IA",
            "postal_code": "506132859",
            "telephone_number": "319-277-3166",
            "fax_number": "319-266-4846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FETTKETHER",
        "first_name": "AUTUMN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-14",
        "last_updated": "2023-07-21",
        "certification_date": "2023-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IA",
            "license": "119534",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kendall Fate, LMHC
• Jeremy Fehrmann, DPT
• Heather E Feist, LISW
• Dennis D Feltz, LMHC
• Elizabeth Ann Fennelly, DDS
• Thad William Fever, D.C.
• James Fiedler
• Benjamin Russell Fienup, MC
• Steve C Firman, R.PH.
• Kelly Fischer, LMHC

• Physical Therapist in Cedar Falls, IA
• Providers in Cedar Falls, IA by specialty
• Physical Therapist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2023; 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.