Active NPI
Abigail Freking, SLP
- Speech-Language Pathologist
- Clute, TX
National Provider Identifier
1073099842
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 113116
- Practice address
- 414 Cobb St
Clute, TX 77531-5504 - Phone
- (979) 417-3476
- NPI assigned
- Jul 16, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 113116 | TX | Primary |
Addresses
Primary practice location
414 Cobb St
Clute, TX 77531-5504
Mailing address
414 Cobb St
Clute, TX 77531-5504
Phone (979) 849-2447
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 113116 | TX | MD | Pediatric Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Perisseuo Group LLC | Current | Accepting new patients |
Locations
135 Oyster Creek Dr
Ste P
Lake Jackson, TX 77566
Phone (281) 943-9997
Organizations & group practices 1
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.
-
- Home Health Agency
- Lake Jackson, TX
- NPI 1568139160
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1531699200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1645660800000",
"number": "1073099842",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "414 COBB ST",
"city": "CLUTE",
"state": "TX",
"postal_code": "775315504",
"telephone_number": "979-849-2447"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "414 COBB ST",
"city": "CLUTE",
"state": "TX",
"postal_code": "775315504",
"telephone_number": "979-417-3476"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FREKING",
"first_name": "ABIGAIL",
"credential": "SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-07-16",
"last_updated": "2022-02-24",
"certification_date": "2022-02-11",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "TX",
"license": "113116",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Clute, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.