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

Stacy A Fredrickson, PT, DPT

Individual provider Physical Therapist · NPI 1285077941

Stacy A Fredrickson, PT, DPT is a Physical Therapist in Private Practice in Winfield, Indiana. Qualified in 2010, 16 years ago. Practices with Ivyrehab Physical Therapy, Occupational Therapy and Speech Language PA, a 385-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
16
Licensed in
IN
In the registry since
2013
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

10787 Randolph St Ste 220
Winfield, IN 46307-7615
Phone: (219) 333-5900
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 748 E Porter Ave, Chesterton, IN 46304-9101 — (219) 255-1566
  • 8259 Wicker Ave, Saint John, IN 46373-8878 — (219) 365-6560

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 05010467A (IN)

Record details

NPI number1285077941
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT , DPT
Sole proprietorNo
NPI enumeratedApril 12, 2013
Last updated in NPPESDecember 17, 2024
Certification dateDecember 17, 2024
Mailing address625 Enterprise Dr, Oak Brook, IL 60523-8813

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice Ivyrehab Physical Therapy, Occupational Therapy And Speech Language Pa — 385 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Winfield