SAMUEL FEDO ATC
NPI 1639131279
Rehabilitation Practitioner in Burnsville, MN

Q: What is the provider's specialty?

The provider's specialty is Rehabilitation Practitioner with taxonomy code 225400000X.

Active since April 06, 2006

501 E NICOLLET BLVD, SUITE 100, BURNSVILLE, MN 55337(952) 460-4900(952) 460-4901 Get Directions Write a Review

NPPES record last updated: February 2, 2011. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Samuel Fedo Atc NPPES

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

SAMUEL FEDO ATC (NPI 1639131279) is an individual rehabilitation practitioner in Burnsville, Minnesota, licensed in Minnesota (1739) and active in the NPI registry since April 2006.

NPPES Registry Identity

NPI1639131279

Entity TypeIndividualMale

Primary Taxonomy225400000X

Provider Legal NameSAMUEL FEDOCredential: ATC

Location Address501 E NICOLLET BLVD, SUITE 100Burnsville, MN 55337-6732

Mailing Address501 E Nicollet Blvd, Suite 100Burnsville, MN 55337-6732 · (952) 460-4900 · Fax (952) 460-4901

Phone(952) 460-4900

Fax(952) 460-4901

Sole ProprietorNo

Enumeration DateApril 6, 2006

Last NPPES UpdateFebruary 2, 2011

✔ NPI 1639131279 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRehabilitation PractitionerRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy Code225400000X

License✔ Licensed in MN · 1739

Definition

A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.

501 E NICOLLET BLVD, Burnsville, MN 55337

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Other Providers at the Same Location NPPES 18

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

MEE LEE CHUN NELSON M.D.

Internal Medicine (Allergy & Immunology)

501 E NICOLLET BLVD, SYE 200
BURNSVILLE, MN 55337

Dakota County (952) 898-5900

DR. TIMOTHY JOHN ANDERSON M.D.

Pediatrics

501 E NICOLLET BLVD, SUITE 200
BURNSVILLE, MN 55337

Dakota County (952) 898-5900

DR. JEFFREY WADE OSEID MD

Pediatrics