Justin Fricke, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

T-02537 Issued in KS

Practice address

6500 Greeley Ave
Kansas City, KS 66104-2647

Phone

(615) 896-6400

NPI assigned

Aug 11, 2009

Sex

Male

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1249948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1249948800000",
    "number": "1063644938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "612 N 80TH TER",
            "city": "KANSAS CITY",
            "state": "KS",
            "postal_code": "661122508",
            "telephone_number": "615-896-6400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6500 GREELEY AVE",
            "city": "KANSAS CITY",
            "state": "KS",
            "postal_code": "661042647",
            "telephone_number": "615-896-6400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRICKE",
        "first_name": "JUSTIN",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-08-11",
        "last_updated": "2009-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "KS",
            "license": "T-02537",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mallory Freeman
• More'T R Freeman
• Collin Freking, MD
• Valerie A French, M.D.
• Fresenius Medical Care Wyandotte East, LLC (Fresenius Kidney Care Wyandotte East)
• Elizabeth Ellen Friedman, MSN
• Elizabeth Joan Friedman, M.D.
• Caitlynn C Friend, DO
• Friends and Family Behavioral Health, Corp
• John T Fritzlen, MD

• Physical Therapy Assistant in Kansas City, KS
• Providers in Kansas City, KS by specialty
• Physical Therapy Assistant in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2009; 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.