Lora Catherine Fedeson, P.T., C.M.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5501004510 Issued in MI

Practice address

1100 Corporate Office Dr
Suite 100
Milford, MI 48381-5001

Phone

(248) 684-1107

Fax

(248) 684-1681

NPI assigned

Nov 16, 2009

Sex

Female

Sole proprietor

Yes

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 MI

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Synergy Rehab IncGroup PAC ID 5092765834, 4 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.

• Synergy Rehab, Inc.

  • Physical Therapist
  • Southfield, MI
  • NPI 1598787616
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1258329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1258329600000",
    "number": "1730416470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30345 WICKLOW RD",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483344769",
            "telephone_number": "248-471-4586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 CORPORATE OFFICE DR",
            "address_2": "SUITE 100",
            "city": "MILFORD",
            "state": "MI",
            "postal_code": "483815001",
            "telephone_number": "248-684-1107",
            "fax_number": "248-684-1681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FEDESON",
        "first_name": "LORA",
        "middle_name": "CATHERINE",
        "name_prefix": "Mrs.",
        "credential": "P.T., C.M.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-11-16",
        "last_updated": "2009-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501004510",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erica McNeely, LLC
• Annette Renee Evans, PH.D.
• Michael Faff
• Katherine Ellen Faunce
• Adrian Fear, IBCLC
• Susan L Fisher, MPT
• Flower Counseling and Wellness LLC
• Ava Milan Fluent, OTR/L
• Candace Freiberg, M.S., CCC-SLP
• Craig Alan Fuelling, M.D.

• Physical Therapist in Milford, MI
• Providers in Milford, MI by specialty
• Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2009; 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.