Amy Marie Frederickson

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

31007557A Issued in IN

Practice address

12844 Coldwater Rd Ste B
Fort Wayne, IN 46845-8833

Phone

(260) 497-7191

NPI assigned

Jun 11, 2026

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

Specialty

Occupational Therapist in Private Practice

Education

Other, 2021

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Steppin Up Physical Therapy, Inc.

  • Physical Therapist
  • Fort Wayne, IN
  • NPI 1043296510

  Occupational Therapist

  NPD (past)
• Steppin Up Physical Therapy, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Fort Wayne, IN
  • NPI 1215005624
  NPD (past)

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

{
    "created_epoch": "1781136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781136000000",
    "number": "1922932276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9823 AUBURN RD",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468252347",
            "telephone_number": "260-497-7191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12844 COLDWATER RD STE B",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468458833",
            "telephone_number": "260-497-7191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREDERICKSON",
        "first_name": "AMY",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-06-11",
        "last_updated": "2026-06-11",
        "certification_date": "2026-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IN",
            "license": "31007557A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Fraze, PHARMD, PMHNP
• Todd Frazier, MD
• Fred Toenges Orthotics
• Regina M Frederick, NP
• Terry Lee Frederick, M.D.
• Dawn D. Frederickson, O.D.
• Samantha Lynne Fredrickson, FNP
• Saundra L Fredrickson, MA
• Mellisa Jane Lee Free-Stouder, NP
• Jodi Freed

• Occupational Therapist in Fort Wayne, IN
• Providers in Fort Wayne, IN by specialty
• Occupational Therapist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.