Active NPI
Rebecca D Fedie, PT
- Physical Therapist
- Chaska, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 12766
- Practice address
- 1200 Chaska Creek Way Ste 200
Chaska, MN 55318-2749 - Phone
- (952) 927-2960
- NPI assigned
- Mar 8, 2006
- Last updated
- Oct 19, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 12766 | MN | Primary |
| Physical Therapist | 225100000X | 10575 | WI | |
| Physical Therapist | 225100000X | 5215 | OR |
Addresses
Primary practice location
1200 Chaska Creek Way Ste 200
Chaska, MN 55318-2749
Mailing address
4200 Dahlberg Dr Ste 300
Golden Valley, MN 55422-4841
Phone (952) 512-5600
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 40477800 | Medicaid | WI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1200 Chaska Creek Way
Suite 200
Chaska, MN 55318-2749
Phone (952) 927-2960
Merit-based Incentive Payment System (MIPS)
- Final score
- 91.79 of 100
- Quality
- 95.08
- Improvement activities
- 40
- Cost
- 81.67
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5215 | OR | MD | Physical Therapist |
| 12766 | MN | MD | Surgical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Infinite Health Collaborative, PA | Physical Therapist | Current | Accepting new patients |
| Infinite Health Collaborative, PA | Current | Accepting new patients | |
| Infinite Health Collaborative, PA | Past | Accepting new patients |
Locations
1200 Chaska Creek Way
Ste 200
Chaska, MN 55318
Phone (952) 856-1046
12982 Valley View Rd
Eden Prairie, MN 55344
Phone (952) 924-2519
4200 Dahlberg Dr
Ste 300
Minneapolis, MN 55422
Phone (952) 512-5600
920 E 28th St
Ste 440
Minneapolis, MN 55407
Phone (612) 863-5155
Organizations & group practices 3
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.
-
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- NPI 1164474250
Physical Therapist
-
- Durable Medical Equipment & Medical Supplies
- Hudson, WI
- NPI 1568840916
-
- Durable Medical Equipment & Medical Supplies
- River Falls, WI
- NPI 1144608589
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141776000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1666137600000",
"number": "1629046602",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4200 DAHLBERG DR STE 300",
"city": "GOLDEN VALLEY",
"state": "MN",
"postal_code": "554224841",
"telephone_number": "952-512-5600",
"fax_number": "952-512-5651"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 CHASKA CREEK WAY STE 200",
"city": "CHASKA",
"state": "MN",
"postal_code": "553182749",
"telephone_number": "952-927-2960"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FEDIE",
"first_name": "REBECCA",
"middle_name": "D",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-08",
"last_updated": "2022-10-19",
"certification_date": "2022-10-19",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MN",
"license": "12766",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WI",
"license": "10575",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OR",
"license": "5215",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "40477800",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Chaska, MN
- Fabian Homecare LLC
- Colleen Fafinski, LP
- Fairview Express Care
- Family Therapy Specialists, Inc (Family Therapy Specialists)
- Zakaria Farah
- Martha Glas Field, LICSW
- Joy Irene Fischer, MSW, LICSW
- Catherine F. Fitterer, LICSW
- Five Star Recovery Center
- Five Stars Recovery Center (Five Stars Clinical Laboratory)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2022; 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.