BRYANNA FEDORKA DPT
NPI 1518624873
Physical Therapist in Upland, CA

Active since November 22, 2021Accepts Medicare Assignment
299 W FOOTHILL BLVD STE 200, UPLAND, CA 91786(909) 985-2337 Get Directions Write a Review

NPPES record last updated: November 29, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Nov 29, 2021, Nov 22, 2021 (2 updates tracked since 2021).

About Bryanna Fedorka Dpt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BRYANNA FEDORKA DPT (NPI 1518624873) is an individual physical therapist in Upland, California, licensed in California (301222) and active in the NPI registry since November 2021. She is a graduate of Other (2021).

NPPES Registry Identity

NPI1518624873
Entity TypeIndividualFemale
Primary Taxonomy225100000X
Provider Legal NameBRYANNA FEDORKACredential: DPT
Location Address299 W FOOTHILL BLVD STE 200Upland, CA 91786-3806
Mailing Address1042 N Mountain Ave # B146Upland, CA 91786-3695 · (909) 276-1717
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateNovember 22, 2021
Last NPPES UpdateNovember 29, 20212 updates tracked since enumeration
NPPES CertifiedNovember 29, 2021
✔ NPI 1518624873 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
License✔ Licensed in CA · 301222
Definition
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.
299 W FOOTHILL BLVD STE 200, Upland, CA 91786

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Bryanna Fedorka Dpt is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1456745454
PECOS Enrollment IDI20220308000250

Medicare Billing Reassignment

Medicare enrollment records show Bryanna Fedorka reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Rehabilitation
299 W FOOTHILL BLVD STE 200
Upland, CA 91786
  • Reassigned Medicare billing, California enrollment
  • Medicare enrollment name: Select Cs Physical Therapy PC
  • 217 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91786 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$91.88 typical visit price
range $59.60 – $179.42
Typical copayment $22.97 (range $14.90 – $44.85)
Most-billed visit code 99203
Established Patient
$74.08 typical visit price
range $19.37 – $146.42
Typical copayment $18.52 (range $4.84 – $36.60)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Occupational Therapist (Physical Rehabilitation)
299 W FOOTHILL BLVD STE 200
UPLAND, CA 91786
Physical Therapist
299 W FOOTHILL BLVD STE 200
UPLAND, CA 91786
Clinic/Center (Rehabilitation)
299 W FOOTHILL BLVD STE 200
UPLAND, CA 91786
Physical Therapist (Orthopedic)
299 W FOOTHILL BLVD STE 200
UPLAND, CA 91786
Physical Therapist
299 W FOOTHILL BLVD STE 200
UPLAND, CA 91786

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bryanna Fedorka's NPI number?

The NPI number for Bryanna Fedorka is 1518624873. It was assigned to this individual provider in the NPPES registry on November 22, 2021.

Where is Bryanna Fedorka located?

Bryanna Fedorka practices at 299 W Foothill Blvd Ste 200, Upland, CA 91786. The listed phone number is (909) 985-2337.

What is Bryanna Fedorka's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

Is Bryanna Fedorka enrolled in Medicare?

Yes. Bryanna Fedorka is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Bryanna Fedorka's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Bryanna Fedorka reassigns Medicare benefits to Select Cs Physical Therapy, P.C. (Upland, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Bryanna Fedorka's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Bryanna Fedorka was last updated on November 29, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.