Individual provider Active NPI

Sarah Fedorow, DPT

  • Physical Therapist
  • Marlette, MI
National Provider Identifier
1982300695
Registry record updated Feb 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
3105 Main St
Marlette, MI 48453-1508
Phone
(989) 635-3660
NPI assigned
Feb 3, 2023
Last updated
Feb 8, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X Primary

Addresses

Primary practice location

3105 Main St
Marlette, MI 48453-1508

Mailing address

790 Remington Blvd
Bolingbrook, IL 60440-4909
Phone (866) 370-8206

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230210000398 MI Practitioner - Physical Therapist in Private Practice 5698147130 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
KKS of Michigan LLCGroup PAC ID 4981773967, 19 clinicians

Practice addresses (Care Compare)

3105 Main St
Marlette, MI 48453-1508
Phone (989) 635-3660

411 W Nepessing St
Lapeer, MI 48446-2106
Phone (810) 206-2200

Merit-based Incentive Payment System (MIPS)

Final score
78.57 of 100Reported as group
Quality
68.23
Improvement activities
40
Cost
70.93

Merit-based Incentive Payment System (MIPS)

Final score
85.78 of 100Reported as group
Quality
89.5
Improvement activities
40
Cost
71.87

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
KKS of Michigan LLC CurrentSince Feb 20, 2023 Accepting new patients
HQ of Lapeer LLC Physical Therapist CurrentSince Feb 20, 2023 Accepting new patients
Michigan Rehabilitation Specialists of Fowlerville, LLC CurrentSince Jan 13, 2023 Accepting new patients
Michigan Rehabilitation Specialists of Fowlerville LLC Physical Therapist CurrentSince Jan 13, 2023 Accepting new patients

Locations

790 Remington Blvd
Bolingbrook, IL 60440

4947 Paysphere Cir
Chicago, IL 60674
Phone (630) 783-2001

5700 Jackson Rd
Ann Arbor, MI 48103
Phone (734) 926-4710

10078 Lapeer Rd
Ste B
Davison, MI 48423
Phone (810) 653-6200

411 W Nepessing St
Lapeer, MI 48446
Phone (810) 206-2200

3105 Main St
Marlette, MI 48453
Phone (989) 635-3660

5832 N Lapeer Rd
Ste A
North Branch, MI 48461
Phone (810) 793-5282

3009 S Baldwin Rd
Orion, MI 48359
Phone (248) 393-7707

1773 Star Batt Dr
Rochester Hills, MI 48309
Phone (248) 650-4720

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1675382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675814400000",
    "number": "1982300695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 REMINGTON BLVD",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604404909",
            "telephone_number": "866-370-8206",
            "fax_number": "517-435-3670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3105 MAIN ST",
            "city": "MARLETTE",
            "state": "MI",
            "postal_code": "484531508",
            "telephone_number": "989-635-3660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FEDOROW",
        "first_name": "SARAH",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-03",
        "last_updated": "2023-02-08",
        "certification_date": "2023-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marlette, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 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.