Adam Gerard Fedewa

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

6661 Issued in TN

Practice address

1207Woods Edge Dr
Murfreesboro, TN 37130

Phone

(989) 980-4857

NPI assigned

Sep 12, 2017

Sex

Male

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1505174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1505174400000",
    "number": "1871012864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1207 WOODS EDGE DR",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371303165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1207WOODS EDGE DR",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "37130",
            "telephone_number": "989-980-4857"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FEDEWA",
        "first_name": "ADAM",
        "middle_name": "GERARD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-09-12",
        "last_updated": "2017-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "TN",
            "license": "6661",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Essam Fathy, R.P.T.
• Safaa Fathy, R.P.T.
• Tanya Leigh Faulk
• Jaydon Favors
• Shazia Fazili, M.D.
• John Wesley Dean Feemster
• Fehr Home Care Corp
• Kevin Fehr
• Jordan P Feild
• Hannah Elizabeth Feliciano, LMFT

• Physical Therapy Assistant in Murfreesboro, TN
• Providers in Murfreesboro, TN by specialty
• Physical Therapy Assistant in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.