REBECCA D FEDIE (PT) – Physical Therapist, NPI 1629046602

REBECCA D FEDIE (PT) is a healthcare provider. based in Golden valley, Minnesota. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT. They hold a License No. 10575 (WI). The NPI Number for REBECCA D FEDIE (PT) is 1629046602

Main info

Female
21 Years Of Experience
Accepts Medicare Assignment
Name
REBECCA D FEDIE (PT)
NPI
1629046602
Phone
(952) 512-5600
Address
4200 DAHLBERG DR STE 300
Enumeration Date
8 March 2006
Last Update Date
19 October 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9529551046
Graduation Year
2005 (21 years ago)
PAC ID
7517974777
Group Practice PAC ID
1052225042
Professional Enrollment ID
I20221102002693
Address ID
MN553182749CH1200XWAYX402
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience82
Completeness75
Years active:20State licenses:3Digital endpointsOther names

2,108 PHYSICAL THERAPIST IN PRIVATE PRACTICE in MN

Provider Addresses for REBECCA D FEDIE (PT)

  • 4200 DAHLBERG DR STE 300

    GOLDEN VALLEY, MN 554224841

    Phone: (952) 512-5600

    Fax: (952) 512-5651

    Type: Mailing

  • 1200 CHASKA CREEK WAY STE 200

    CHASKA, MN 553182749

    Phone: (952) 927-2960

    Type: Location

  • 909, Southwest 18th Avenue, Goose Hollow, Portland, Metro, Multnomah County, Oregon, 97205, United States

    PORTLAND, OR 972051705

    Phone:

    Type: Mailing

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: 2022-11-02

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
I20221102002693IPhysical Therapist In Private PracticeMNTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes22838$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes20629$0
97140Therapy procedure using manual technique, each 15 minutes11332$0
97161Evaluation for physical therapy, typically 20 minutes3431$0
View full utilization report →

Insurance plans in this area (ZIP 55422)

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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: 1052225042View full group profile
NameSpecialtyState
Physician AssistantMN
Physical Therapist In Private PracticeMN
Physical Therapist In Private PracticeMN
-MN
Physical Therapist In Private PracticeMN
-MN
Orthopedic SurgeryMN
-MN
Physical Therapist In Private PracticeMN
Physical Therapist In Private PracticeTX

Reviews

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Frequently asked questions

What is the standard ID for REBECCA D FEDIE (PT) in the U.S.?
In the U.S., REBECCA D FEDIE (PT) is identified by NPI 1629046602.
Should I treat REBECCA D FEDIE (PT) as an active provider?
Patients and plans typically see REBECCA D FEDIE (PT) as active in the national extract.
What type of care does REBECCA D FEDIE (PT) provide?
REBECCA D FEDIE (PT)'s profile centers on Physical Therapist. Clinical services aligned with this taxonomy classification.
What geographic area is tied to REBECCA D FEDIE (PT)?
REBECCA D FEDIE (PT) is associated with Golden Valley, Minnesota in the same public data insurers reference.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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