ASHLEY L FEDOR (DPT) – Physical Therapist, NPI 1114525557

ASHLEY L FEDOR (DPT) is a healthcare provider. based in Trumbull, Connecticut. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials DPT. They hold a License No. 12772 (CT). The NPI Number for ASHLEY L FEDOR (DPT) is 1114525557

Main info

Female
6 Years Of Experience
Accepts Medicare Assignment
Name
ASHLEY L FEDOR (DPT)
NPI
1114525557
Phone
(203) 268-8888
Address
115 TECHNOLOGY DR
Enumeration Date
16 October 2020
Last Update Date
16 October 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2034561010
Graduation Year
2020 (6 years ago)
PAC ID
9436561644
Group Practice PAC ID
8325203649
Professional Enrollment ID
I20201211002294
Address ID
CT068042505BR3XXXXRDXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:5State licenses:1Digital endpointsOther names

1,335 PHYSICAL THERAPIST IN PRIVATE PRACTICE in CT

Provider Addresses for ASHLEY L FEDOR (DPT)

  • 115 TECHNOLOGY DR

    TRUMBULL, CT 066116337

    Phone: (203) 268-8888

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2020-12-11

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20201211002294IPhysical Therapist In Private PracticeCTTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 06611)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8325203649View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeNY
Physical Therapist In Private PracticeCT
Occupational Therapist In Private PracticeNJ
Physical Therapist In Private PracticeCT
Physical Therapist In Private PracticeCT
Physical Therapist In Private PracticeLA
Qualified Speech Language PathologistCT
-CT
Physical Therapist In Private PracticeCT
Physical Therapist In Private PracticeNY

Reviews

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Frequently asked questions

What federal number belongs to ASHLEY L FEDOR (DPT)?
The federal identifier for ASHLEY L FEDOR (DPT) is NPI 1114525557.
Is ASHLEY L FEDOR (DPT)'s NPI currently valid?
The extract we use shows ASHLEY L FEDOR (DPT) as active.
Can you summarize ASHLEY L FEDOR (DPT)'s specialty in plain language?
Clinically, the directory lists ASHLEY L FEDOR (DPT) with Physical Therapist. Clinical services aligned with this taxonomy classification.
Where is ASHLEY L FEDOR (DPT)'s primary listing?
We display Trumbull, Connecticut because that is what the record indicates for ASHLEY L FEDOR (DPT).
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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