Zackary Fedorka, DPT
NPI 1508279084ActiveIndividual· Physical Therapist· Antioch, TN
Physical Therapist (DPT) in Antioch, Tennessee, licensed in TN and OH, with an NPI issued in June 2014. Medicare paid $31,652 for services to 59 patients in 2024.
Overview
| NPI | 1508279084 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DPT |
| Sole proprietor | No |
| NPI issued | Jun 3, 2014 |
| Last updated in NPPES | Oct 12, 2024 |
| Certified by provider | Oct 12, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | 11499 | TN |
| Physical Therapist, Orthopedic | 2251X0800X | PT.014820 | OH |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physical Therapist in Private Practice (TN) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 59 |
|---|---|
| Services billed | 1,699 across 9 procedure codes |
| Paid by Medicare | $31,652 |
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