Ethan Feder, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

037883 Issued in NY

Practice address

1015 Madison Ave RM 303
New York, NY 10075-0261

Phone

(212) 439-9303

NPI assigned

Sep 4, 2014

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 MD

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

University of Maryland Orthopaedic Associates PAGroup PAC ID 0042108722, 68 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 and National Provider Directory roles.

• University of Maryland Orthopaedic Associates P a

  • Pediatric Orthopaedic Surgery Physician
  • Baltimore, MD
  • NPI 1740235274
  Medicare reassignment Care Compare group NPD
• University of Maryland Orthopaedic Associates PA

  • Orthopaedic Surgery Physician
  • Laurel, MD
  • NPI 1649080714
  NPD
• Hands on Occupational Therapy and PT PLLC

  • Occupational Therapist
  • New York, NY
  • NPI 1194018986
  NPD (past)
• Physiocare Physical Therapy PC

  • Physical Therapist
  • Astoria, NY
  • NPI 1366600793
  NPD (past)

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

{
    "created_epoch": "1409788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1409788800000",
    "number": "1487055869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1015 MADISON AVE RM 303",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100750261",
            "telephone_number": "212-439-9303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1015 MADISON AVE RM 303",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100750261",
            "telephone_number": "212-439-9303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FEDER",
        "first_name": "ETHAN",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-09-04",
        "last_updated": "2014-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "037883",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Fedenko
• Adriana Feder, M.D.
• Annie F Feder, NP
• Antje Britta Feder, MD
• David Feder, LCSW
• Faith Kiermaier Feder, LCSW
• Gabrielle Feder
• June E Feder, PH.D.
• Lawrence Feder, DDS
• Lewis M. Feder, M.D.

• Physical Therapist in New York, NY
• Providers in New York, 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 Sep 4, 2014; 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.