| Stacy A Fredrickson, PT, DPT | |
|
10787 Randolph St Ste 220, Winfield, IN 46307-7615 | |
| (219) 333-5900 | |
| Not Available |
| Full Name | Stacy A Fredrickson |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist In Private Practice |
| Experience | 15 Years |
| Location | 10787 Randolph St Ste 220, Winfield, Indiana |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285077941 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 05010467A (Indiana) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ivyrehab Physical Therapy Pllc | 7012997638 | 306 |
| Provider Name | Accelerated Rehabilitation Centers Ltd |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1205875713 PECOS PAC ID: 2567372931 Enrollment ID: O20040416000404 |
| Provider Name | Ivyrehab Physical Therapy Pllc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1750764494 PECOS PAC ID: 7012997638 Enrollment ID: O20151211000959 |
| Provider Name | Innovative Physical Therapy Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1578937447 PECOS PAC ID: 0941506406 Enrollment ID: O20160309000787 |
| Mailing Address | Practice Location Address |
|---|---|
| Stacy A Fredrickson, PT, DPT 625 Enterprise Dr, Oak Brook, IL 60523-8813 Ph: (630) 576-6200 | Stacy A Fredrickson, PT, DPT 10787 Randolph St Ste 220, Winfield, IN 46307-7615 Ph: (219) 333-5900 |
Nicole Gilbert, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 10787 Randolph St Ste 220, Winfield, IN 46307 Phone: 219-333-5900 | |
Janelle Golly, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 10787 Randolph St, Winfield, IN 46307 Phone: 219-333-5900 Fax: 219-359-2123 | |
Lucas J Gaspar, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 10787 Randolph St Ste 220, Winfield, IN 46307 Phone: 219-333-5900 | |
Joshua Patrick James, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 10787 Randolph St Ste 220, Winfield, IN 46307 Phone: 219-333-5900 Fax: 219-359-2123 | |
Travis Lee Sharp, MPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 10787 Randolph St Ste 220, Winfield, IN 46307 Phone: 219-333-5900 Fax: 219-359-2123 | |
Thomas Raymond Mauro Jr., DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 10787 Randolph St Ste 220, Winfield, IN 46307 Phone: 219-333-5900 Fax: 219-359-2123 |