AMY MARIE FREDERICKSON
NPI 1922932276
Occupational Therapist in Fort Wayne, IN
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
Specialties & Licenses
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).
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.
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.