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

Stephanie L Frederickson, PT, DPT

Individual provider Physical Therapist · NPI 1053894378

Stephanie L Frederickson, PT, DPT is a Physical Therapist in Private Practice in Pleasant Prairie, Wisconsin. Qualified in 2020, 6 years ago. Practices with Aurora Medical Group, Inc, a 3,741-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
6
Licensed in
WI
In the registry since
2018
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

12500 Aurora Dr
Pleasant Prairie, WI 53158-1227
Phone: (262) 857-5000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 5219 88th Ave, Kenosha, WI 53144-7468 — (262) 653-0850
  • 13203 Globe Dr Ste 111, Mount Pleasant, WI 53177-1616 — (262) 287-0090

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 15158-24 (WI)

Record details

NPI number1053894378
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT , DPT
Sole proprietorNo
NPI enumeratedSeptember 12, 2018
Last updated in NPPESJanuary 4, 2024
Certification dateJanuary 4, 2024

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Aurora Medical Group, Inc. — 3741 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Pleasant Prairie