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SAMUEL FEDO ATC
NPI 1639131279
Rehabilitation Practitioner in Burnsville, MN

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: August 16, 2026.

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.

DR. LISA WILKINSON OIE MD
Pediatrics
501 E NICOLLET BLVD, STE 200
BURNSVILLE, MN 55337
Dakota County (952) 831-1944
MRS. PATRICIA DALY BORG R.N.
Nurse Practitioner
501 E NICOLLET BLVD, STE. 120
BURNSVILLE, MN 55337
Dakota County (952) 460-4130
DR. TIMOTHY JOHN ANDERSON M.D.
Pediatrics
501 E NICOLLET BLVD, SUITE 200
BURNSVILLE, MN 55337
Dakota County (952) 898-5900
DR. JENS CHRISTIAN MORKEBERG MD
Pediatrics
501 E NICOLLET BLVD, STE 200
BURNSVILLE, MN 55337
Dakota County (952) 831-1944
JEFFREY RYAN MATHEWS PT
Physical Therapist
501 E NICOLLET BLVD, #100
BURNSVILLE, MN 55337
Dakota County (952) 460-4900
DR. AMY L MANOLIS MD
Pediatrics
501 E NICOLLET BLVD, STE 200
BURNSVILLE, MN 55337
Dakota County (952) 831-1944
RICHARD A BRANSON DC
Chiropractor
501 E NICOLLET BLVD, #100
BURNSVILLE, MN 55337
Dakota County (952) 460-4900
DR. JEFFREY WADE OSEID MD
Pediatrics
501 E NICOLLET BLVD, STE 200
BURNSVILLE, MN 55337
Dakota County (952) 831-1944

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 Samuel Fedo's NPI number?

The NPI number for Samuel Fedo is 1639131279. It was assigned to this individual provider in the NPPES registry on April 6, 2006.

Where is Samuel Fedo located?

Samuel Fedo practices at 501 E Nicollet Blvd Suite 100, Burnsville, MN 55337. The listed phone number is (952) 460-4900.

What is Samuel Fedo's specialty?

The primary specialty registered for this NPI is Rehabilitation Practitioner with taxonomy code 225400000X.

When was this NPI record last updated?

The NPPES record for Samuel Fedo was last updated on February 2, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.