Zackary Fedorka, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

11499 Issued in TN

Practice address

889B Bell Rd Ste a-7a
Antioch, TN 37013-3101

Phone

(615) 717-6262

Fax

(615) 717-6890

NPI assigned

Jun 3, 2014

Last updated

Oct 12, 2024By 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 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Independent Physical Therapy, LLC

  dba BenchMark Physical Therapy

  • Physical Therapist
  • Chattanooga, TN
  • NPI 1104878354
  Medicare reassignment NPD
• Nashville Bone and Joint PLLC

  • Orthopaedic Surgery Physician
  • Hermitage, TN
  • NPI 1104815430
  Medicare reassignment NPD
• Results-Ast JV, LLC

  • Physical Therapist
  • Franklin, TN
  • NPI 1780291948
  Medicare reassignment NPD

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

{
    "created_epoch": "1401753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728691200000",
    "number": "1508279084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3024 BUSINESS PARK CIR",
            "city": "GOODLETTSVILLE",
            "state": "TN",
            "postal_code": "370723132",
            "telephone_number": "615-239-2018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "889B BELL RD STE A-7A",
            "city": "ANTIOCH",
            "state": "TN",
            "postal_code": "370133101",
            "telephone_number": "615-717-6262",
            "fax_number": "615-717-6890"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3131 S State St",
            "address_purpose": "LOCATION",
            "city": "Ann Arbor",
            "state": "MI",
            "postal_code": "481081658",
            "country_code": "US",
            "telephone_number": "734-213-6285",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FEDORKA",
        "first_name": "ZACKARY",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-03",
        "last_updated": "2024-10-12",
        "certification_date": "2024-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "11499",
            "primary": true
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "OH",
            "license": "PT.014820",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aida Attia Faltas
• Ambiyo Abdi Farah, PMHNP
• Khadija Farah
• Fast Pace Medical Clinic PLLC
• Monica Fayik, RD
• Michelle Aubrie Feneck, RN, FNP-BC
• Joslin E Ferguson, CNP
• Melinda Finch, LCSW, CSAC, JSOC
• First Priority Transportation LLC
• First Tennessee Care Home LLC

• Physical Therapist in Antioch, TN
• Providers in Antioch, TN by specialty
• Physical Therapist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.