Hannah Lee Freiboth, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2179 Issued in ND

Practice address

1462 I94 Business Loop E Unit 1
Dickinson, ND 58601-6419

Phone

(701) 872-6724

Fax

(701) 353-2073

NPI assigned

Dec 21, 2021

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

Enrolled in ND

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Revitalize Physical Therapy PLLC

  • Physical Therapist
  • Medora, ND
  • NPI 1861153090

  ND, Physical Therapist

  Medicare reassignment NPD Authorized official
• Little Missouri Chiropractic, LLC

  • Chiropractor
  • Dickinson, ND
  • NPI 1609243450
  NPD (past)

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

{
    "created_epoch": "1640044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672185600000",
    "number": "1104586841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 472",
            "city": "MEDORA",
            "state": "ND",
            "postal_code": "586450472",
            "telephone_number": "701-872-6724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1462 I94 BUSINESS LOOP E UNIT 1",
            "city": "DICKINSON",
            "state": "ND",
            "postal_code": "586016419",
            "telephone_number": "701-872-6724",
            "fax_number": "701-353-2073"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "455 Broadway",
            "address_purpose": "LOCATION",
            "city": "Medora",
            "state": "ND",
            "postal_code": "586453008",
            "country_code": "US",
            "telephone_number": "701-872-6724",
            "fax_number": "701-353-2073",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FREIBOTH",
        "first_name": "HANNAH",
        "middle_name": "LEE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-21",
        "last_updated": "2022-12-28",
        "certification_date": "2022-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ND",
            "license": "2179",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Focus Point Psychiatry Services PLLC
• Cassie Foster, LSW
• Maria Catherine Frank, M.S., CCC-SLP
• Scott Michael Frank, PHARMD
• Madeline L Free, MD
• Tamra L Freier
• Amber Rae Fridley, EDS, NCSP
• Fiona May Fuller
• Clark J Fullmer II, DPM
• Maisie Fulton, OTD/R

• All providers in Dickinson, ND
• Physical Therapist in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.