Jenny Rebecca Mohr Friedel, L.M.T

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

4870-146 Issued in WI

Practice address

1831 W Court St
Janesville, WI 53548-3406

Phone

(608) 754-7463

Fax

(608) 754-1437

NPI assigned

May 2, 2012

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)

Not 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.

• Park Place Chiropractic, LLC

  • Sports Physician Chiropractor
  • Janesville, WI
  • NPI 1205961331
  NPD (past)

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

{
    "created_epoch": "1335916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1335916800000",
    "number": "1104184712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 JEFFERSON AVE",
            "city": "JANESVILLE",
            "state": "WI",
            "postal_code": "535454130",
            "telephone_number": "608-754-4235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1831 W COURT ST",
            "city": "JANESVILLE",
            "state": "WI",
            "postal_code": "535483406",
            "telephone_number": "608-754-7463",
            "fax_number": "608-754-1437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRIEDEL",
        "first_name": "JENNY",
        "middle_name": "REBECCA MOHR",
        "name_prefix": "Mrs.",
        "credential": "L.M.T",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-02",
        "last_updated": "2012-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WI",
            "license": "4870-146",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Derek Franzen
• Sarah J Fredricks, LPN
• Cheryl M Frei, SAC-IT
• Rebecca Freitag, OTD
• Fresenius Medical Care Janesville, LLC
• Kara C Friis, LCSW, SAC
• Anna Frishman
• Ryan Thomas Fuelleman, B.S. D.C.
• Full Circle Nutrition LLC
• Leanne Furman, LCSW

• Massage Therapist in Janesville, WI
• Providers in Janesville, WI by specialty
• Massage Therapist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2012; 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.