Frank Fedorczyk, PT, DPT, OCS

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT32010 Issued in FL

Practice address

6009 Amberly Dr
Bradenton, FL 34208-4545

Phone

(215) 962-9557

NPI assigned

Jul 28, 2005

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Coastal Orthopedics and Sports Medicine of Southwest Florida PAGroup PAC ID 3274504386, 62 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles (4 of 6)

Locations

Networks

• Freedom Health HMO Network
• Optimum HealthCare HMO Network

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.

• Coastal Orthopedics & Sports Medicine of Southwest Florida PA

  • Orthopaedic Surgery Physician
  • Bradenton, FL
  • NPI 1285740720

  FL

  Medicare reassignment Care Compare group NPD
• Coastal Orthopedics & Sports Medicine of Southwest FL, PA

  • Specialist
  • Bradenton, FL
  • NPI 1811134794
  Care Compare group
• Coastal Orthopedics & Sports Medicine of Southwest Florida PA

  • Specialist
  • Lakewood Ranch, FL
  • NPI 1568609444
  Care Compare group
• Runeight Inc

  • Durable Medical Equipment & Medical Supplies
  • Parrish, FL
  • NPI 1154196699
  NPD (past)
• Delaware Valley Physical Therapy Associates PA

  • Physical Therapist
  • Lawrenceville, NJ
  • NPI 1326093907
  NPD (past)
• Robert Wood Johnson University Hospital at Hamilton

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Hamilton, NJ
  • NPI 1184019390
  NPD (past)

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

{
    "created_epoch": "1122508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681948800000",
    "number": "1902806367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6009 AMBERLY DR",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342084545",
            "telephone_number": "215-962-9557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6009 AMBERLY DR",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342084545",
            "telephone_number": "215-962-9557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FEDORCZYK",
        "first_name": "FRANK",
        "name_prefix": "Mr.",
        "credential": "PT, DPT, OCS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-28",
        "last_updated": "2023-04-20",
        "certification_date": "2021-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT005649L",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA00339700",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT32010",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHAMPUS TRICARE",
            "identifier": "1902806367",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PABS HIGHMARK",
            "identifier": "504364",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer Joy Fedak, P.A.
• Federico a. Frias MD PA
• Federico a. Frias MD PA
• Regina Ann Federico, RDN
• Vincent Federico
• Donna Feikema, APRN
• Zachary Feldmann, PHARMD
• Amanda Kaitlyn Feliciano, MD
• Kailey Anne Felix
• Joy D Felton, ARNP

• All providers in Bradenton, FL
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2023; 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.