AMY MARIE FREDERICKSON
NPI 1922932276
Occupational Therapist in Fort Wayne, IN

Active since June 11, 2026
12844 COLDWATER RD STE B, FORT WAYNE, IN 46845(260) 497-7191 Get Directions Write a Review

NPPES record last updated: June 11, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Amy Marie Frederickson NPPES

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

AMY MARIE FREDERICKSON (NPI 1922932276) is an individual occupational therapist in Fort Wayne, Indiana, licensed in Indiana (31007557A) and active in the NPI registry since June 2026. She is a graduate of Other (2021).

NPPES Registry Identity

NPI1922932276
Entity TypeIndividualFemale
Primary Taxonomy225X00000X
Provider Legal NameAMY MARIE FREDERICKSON
Location Address12844 COLDWATER RD STE BFort Wayne, IN 46845-8833
Mailing Address9823 Auburn RdFort Wayne, IN 46825-2347 · (260) 497-7191
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateJune 11, 2026
NPPES CertifiedJune 11, 2026
✔ NPI 1922932276 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOccupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225X00000X
License✔ Licensed in IN · 31007557A
Definition
An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapists address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life.
12844 COLDWATER RD STE B, Fort Wayne, IN 46845

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Amy Marie Frederickson is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6709359920
PECOS Enrollment IDI20260629000571

Medicare Billing Reassignment

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

Physical Therapist
9823 AUBURN RD
Fort Wayne, IN 46825
  • Reassigned Medicare billing, Indiana enrollment
  • 24 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.

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 Amy Frederickson's NPI number?

The NPI number for Amy Frederickson is 1922932276. It was assigned to this individual provider in the NPPES registry on June 11, 2026.

Where is Amy Frederickson located?

Amy Frederickson practices at 12844 Coldwater Rd Ste B, Fort Wayne, IN 46845. The listed phone number is (260) 497-7191.

What is Amy Frederickson's specialty?

The primary specialty registered for this NPI is Occupational Therapist with taxonomy code 225X00000X.

Is Amy Frederickson enrolled in Medicare?

Yes. Amy Frederickson is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Amy Frederickson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Amy Frederickson reassigns Medicare benefits to Steppin Up Physical Therapy, Inc. (Fort Wayne, IN). 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 Amy Frederickson'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 Amy Frederickson was last updated on June 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.