Laken Frericks, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

11660 Issued in MN

Practice address

651 Nicollet Mall Ste 275
Minneapolis, MN 55402-1647

Phone

(612) 331-5757

Fax

(763) 260-7653

NPI assigned

Sep 18, 2019

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Therapy Partners, Inc.

  • Multi-Specialty Clinic/Center
  • Saint Paul, MN
  • NPI 1407809494

  Physical Therapist

  NPD (past)
• Waypoint Minnesota PC

  • Chiropractor
  • Maple Grove, MN
  • NPI 1699112805
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1568764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568764800000",
    "number": "1003466467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11995 SINGLETREE LN STE 120",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553445338",
            "telephone_number": "952-373-5720",
            "fax_number": "763-260-7653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "651 NICOLLET MALL STE 275",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554021647",
            "telephone_number": "612-331-5757",
            "fax_number": "763-260-7653"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "19845 Forest Rd N",
            "address_purpose": "LOCATION",
            "city": "Forest Lake",
            "state": "MN",
            "postal_code": "550252906",
            "country_code": "US",
            "telephone_number": "952-222-5769",
            "fax_number": "763-260-7653",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FRERICKS",
        "first_name": "LAKEN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-18",
        "last_updated": "2019-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MN",
            "license": "11660",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Madeline Frentsos, MS, RD, LD
• Carol Ann Frenz, CRNA
• David A Frenz, MD
• Ellen Alison Frerich, PHN, RN
• Kristin Frericks, APRN, CPNP
• Fresh Start Haven LLC
• Fresh Start Inc
• Melissa Marie Freshwater, RN
• Elena Freund
• Steven Freund, LMFT

• Physical Therapist in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Physical Therapist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.