Active NPI
Samantha Lyn Friedeman, MSPT
- Physical Therapist
- Lakewood, NJ
National Provider Identifier
1104157783
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT40QA00726700
- Practice address
- 500 River Ave
Suite 245
Lakewood, NJ 08701-4738 - Phone
- (732) 367-1888
- NPI assigned
- Jan 21, 2010
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT40QA00726700 | NJ | Primary |
Addresses
Primary practice location
500 River Ave
Suite 245
Lakewood, NJ 08701-4738
Mailing address
42 E Shenendoah Rd
Howell, NJ 07731-9031
Phone (732) 938-3177
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT40QA00726700 | NJ | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1264032000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1264032000000",
"number": "1104157783",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "42 E SHENENDOAH RD",
"city": "HOWELL",
"state": "NJ",
"postal_code": "077319031",
"telephone_number": "732-938-3177"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 RIVER AVE",
"address_2": "SUITE 245",
"city": "LAKEWOOD",
"state": "NJ",
"postal_code": "087014738",
"telephone_number": "732-367-1888"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRIEDEMAN",
"first_name": "SAMANTHA",
"middle_name": "LYN",
"name_prefix": "Mrs.",
"credential": "MSPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-01-21",
"last_updated": "2010-01-21",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NJ",
"license": "PT40QA00726700",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lakewood, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.