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

Ivy L Fedewa

Individual provider Physical Medicine & Rehabilitation Physician · NPI 1467924258

Ivy L Fedewa is a Physical Medicine & Rehabilitation Physician in Big Rapids, Michigan. Practices as a sole proprietor. Licensed in Michigan.

Licensed in
MI
In the registry since
2018

Practice location Address checks out

203 S State St
Big Rapids, MI 49307-1758
Phone: (231) 629-8665
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Medicine & Rehabilitation Physician (primary) Taxonomy 208100000X · Licence 5501018286 (MI)

Record details

NPI number1467924258
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedDecember 18, 2018
Last updated in NPPESOctober 31, 2025
Certification dateOctober 31, 2025

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