Zackary Fedorka, DPT
NPI 1508279084 · Physical Therapist · Antioch, TN
Enrolled with Medicare as Practitioner - Physical Therapist in Private Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Zackary Fedorka, DPT is a Physical Therapist provider in Antioch, TN (NPI 1508279084).
Provider details
- NPI number
- 1508279084
- Entity type
- Individual
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- DPT
- Sex
- Male
- Sole proprietor
- No
- License
- PT.014820 (OH)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
12 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
2 documented practice locations
- Medicare service volume (vs. specialty peers)28% of score
1,596 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Therapy Procedure to Re-Educate Brain-To-Nerve-To-Muscle Function, Each 15 Minutes97112 | 745 | $24 |
| Therapy Procedure Using Manual Technique, Each 15 Minutes97140 | 426 | $19 |
| Therapy Procedure Using Functional Activities97530 | 381 | $29 |
| Re-Evaluation for Physical Therapy, Typically 20 Minutes97164 | 18 | $62 |
| Evaluation for Physical Therapy, Typically 20 Minutes97161 | 13 | $92 |
| Evaluation for Physical Therapy, Typically 30 Minutes97162 | 13 | $93 |
Typical Medicare-allowed amounts for these services range $19–$93 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
Practice location
Mailing address
Additional practice locations (1)
- 3131 S State StAnn Arbor, MI 48108-1658Phone: (734) 213-6285
Registry dates
- Enumerated
- 2014-06-03
- Last updated
- 2024-10-12
- Certified
- 2024-10-12
Frequently asked questions
- What is Zackary Fedorka's NPI number?
- Zackary Fedorka's National Provider Identifier (NPI) is 1508279084, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Zackary Fedorka's specialty?
- Zackary Fedorka is listed in the NPPES registry with a primary specialty of Physical Therapist (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Zackary Fedorka located?
- Zackary Fedorka's practice location on file with NPPES is 889b Bell Rd Ste A-7a, Antioch, TN 37013-3101.
- What is Zackary Fedorka's phone number?
- The practice phone number listed in the NPPES registry for Zackary Fedorka is (615) 717-6262.
- Does Zackary Fedorka accept Medicare?
- Zackary Fedorka is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Zackary Fedorka's NPI active?
- Yes — Zackary Fedorka's NPI (1508279084) is active in the NPPES registry as of the last update on 2024-10-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.