Stacy A. Fredrickson, PT, DPT
NPI 1285077941ActiveIndividual· Physical Therapist· Winfield, IN
Physical Therapist (PT, DPT) with Ivyrehab Physical Therapy, Occupational Therapy and Speech Language PA, practicing in Winfield, Indiana. Medicare paid $26,090 for services to 52 patients in 2024.
Overview
| NPI | 1285077941 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PT, DPT |
| Sole proprietor | No |
| NPI issued | Apr 12, 2013 |
| Last updated in NPPES | Dec 17, 2024 |
| Certified by provider | Dec 17, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | 05010467A | IN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physical Therapist in Private Practice (IN) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 52 |
|---|---|
| Services billed | 1,221 across 9 procedure codes |
| Paid by Medicare | $26,090 |
Education and affiliations
| Graduation year | 2010 |
|---|---|
| Medicare specialty | Physical Therapist In Private Practice |
Medical group
- Ivyrehab Physical Therapy, Occupational Therapy and Speech Language PAJoliet, IL · 376 clinicians
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