Amanda Ann Fedders, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

125791 Issued in IA

Practice address

3971 320TH St
Boyden, IA 51234-7500

Phone

(712) 725-6800

NPI assigned

Jun 4, 2024

Last updated

Jul 25, 2024By the provider in NPPES

Sex

Female

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

Not listed in the public Medicare enrollment file

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

• Sanford Health Network

  dba Sanford Health Lake Park Clinic

  • Multi-Specialty Clinic/Center
  • Lake Park, IA
  • NPI 1134787930
  NPD
• Sanford Health Network

  dba Sanford Clinic Boyden

  • Family Medicine Physician
  • Boyden, IA
  • NPI 1679726111
  NPD
• Sanford Health Network

  dba Sanford Clinic Mountain Lake

  • Rural Health Clinic/Center
  • Mountain Lake, MN
  • NPI 1568469039
  NPD

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

{
    "created_epoch": "1717459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721865600000",
    "number": "1871334755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5074",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571175074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3971 320TH ST",
            "city": "BOYDEN",
            "state": "IA",
            "postal_code": "512347500",
            "telephone_number": "712-725-6800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "118 N 7th Ave",
            "address_purpose": "LOCATION",
            "city": "Sheldon",
            "state": "IA",
            "postal_code": "512011235",
            "country_code": "US",
            "telephone_number": "712-324-5041",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FEDDERS",
        "first_name": "AMANDA",
        "middle_name": "ANN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-04",
        "last_updated": "2024-07-25",
        "certification_date": "2024-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IA",
            "license": "125791",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• City of Boyden
• Sanford Health Network (Sanford Clinic Boyden)
• Morgan Carole Veach
• Heewon Yoon, OTD, OTR/L, CNS, CLT

• Physical Therapist in Boyden, IA
• Providers in Boyden, IA by specialty
• Physical Therapist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2024; 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.