Individual provider Active NPI

Abigail Freking, SLP

  • Speech-Language Pathologist
  • Clute, TX
National Provider Identifier
1073099842
Registry record updated Feb 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
113116 Issued in TX
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

Updated by the provider on Feb 24, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
113116TXMDPediatric Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Perisseuo Group LLC CurrentSince Feb 11, 2022 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.

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.

Verify at the official NPI Registry.