Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Molly Fedewa

Individual provider Occupational Therapist · NPI 1063103364

Molly Fedewa is an Occupational Therapist in Private Practice in Lansing, Michigan. Graduated from Saginaw Valley Medical College - Nlg in 2024, 2 years ago. Practices with Peak Performance Physical Therapy PLC, a 25-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
2
Trained at
Saginaw Valley Medical College - Nlg
Licensed in
MI
In the registry since
2023
Specialties on file
2
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Practice location Address checks out

4285 Development Dr
Lansing, MI 48911-4213
Phone: (517) 706-0421
Fax: (517) 706-0423
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 5201014124 (MI)
Behavior Technician Taxonomy 106S00000X

Record details

NPI number1063103364
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 17, 2023
Last updated in NPPESFebruary 19, 2025
Certification dateFebruary 19, 2025
Mailing address13906 E Kathleen Ln, Grand Ledge, MI 48837-9325

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOCCUPATIONAL THERAPIST IN PRIVATE PRACTICE
Medical schoolSAGINAW VALLEY MEDICAL COLLEGE - NLG
Graduated 2024 (2 years in practice)
Group practice Peak Performance Physical Therapy Plc — 25 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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