Individual provider Active NPI

Fred Fridman, D.O.

  • Physical Medicine & Rehabilitation Physician
  • Portland, ME
National Provider Identifier
1134481047
Registry record updated May 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
DO2594 Issued in ME
Practice address
335 Brighton Ave
Portland, ME 04102-2363
Phone
(207) 775-4000
NPI assigned
Jun 15, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 9, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 18858 NH
Physical Medicine & Rehabilitation Physician 208100000X DO2594 ME Primary
Physical Medicine & Rehabilitation Physician 208100000X OS20698 FL

Addresses

Primary practice location

335 Brighton Ave
Portland, ME 04102-2363

Mailing address

136 Linden Dr Ste 104
Winchester, VA 22601-6900
Phone (540) 504-0118

Other practice location 1

307 Plaza Dr
Dover, NH 03820-2455
Phone (207) 775-4000

Other identifiers 2

IdentifierTypeStateIssuer
OS20698OtherFLFLORIDA DEPARTMENT OF HEALTH
18858OtherNHSTATE OF NEW HAMPSHIRE BOARD OF MEDICINE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME, NH, FL, NY4 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20160614001036 ME Practitioner - Physical Medicine and Rehabilitation 4385874080 Reassigns benefits to 2 organizations
I20230515002059 NH Practitioner - Physical Medicine and Rehabilitation 4385874080 Reassigns benefits to 1 organization
I20240220002224 FL Practitioner - Physical Medicine and Rehabilitation 4385874080 Reassigns benefits to 1 organization
I20241002001231 NY Practitioner - Physical Medicine and Rehabilitation 4385874080 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Nova Southeastern College of Osteo Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rehabilitation Associates PCGroup PAC ID 2466743992, 14 clinicians

Practice addresses (Care Compare)

1014 Delaware Ave
Buffalo, NY 14209-1606
Phone (207) 518-8869

103 Clyde Morris Blvd
Ormond Beach, FL 32174-5982
Phone (207) 518-8869

630 Ocean Ave
Portland, ME 04103-2704
Phone (207) 518-8869

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
OS20698FLMDPhysical Medicine & Rehabilitation Physician
DO2594MEMDPhysical Medicine & Rehabilitation Physician
18858NHMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pai Participant 7 PC CurrentSince Nov 1, 2025 Accepting new patients
Palliative Care Consultants PC PastSince Oct 21, 2025 Accepting new patients
New England Rehabilitation Hospital of Portland, LLC Past Accepting new patients

Locations

367 US Route 1
Ste 3S
Falmouth, ME 04105
Phone (207) 939-6789

Ownership & related parties

All facility ownership & control disclosures 5

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
LTC LLCBangor, ME, CCN 205064 Skilled nursing facility Operational/Managerial Control
Adp of the SNF
Nov 1, 2024
Jul 11, 2024
Maine Medical PartnersDexter, ME, CCN 205115 Skilled nursing facility Operational/Managerial Control
Adp of the SNF
Jul 11, 2024
Jul 11, 2024
Woodlawn Rehabilitation and Nursing CenterSkowhegan, ME, CCN 205154 Skilled nursing facility Operational/Managerial Control
Adp of the SNF
Jul 11, 2024
Jul 11, 2024
Stillwater Healthcare LLCBangor, ME, CCN 205116 Skilled nursing facility Operational/Managerial Control
Adp of the SNF
Jul 11, 2024
Jul 11, 2024
Hibbard Skilled Nursing CenterDover Foxcroft, ME, CCN 205004 Skilled nursing facility Adp of the SNF Jul 11, 2024

Owned or controlled facilities with NPI records 5

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 4

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": "1339718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746748800000",
    "number": "1134481047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "136 LINDEN DR STE 104",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226016900",
            "telephone_number": "540-504-0118",
            "fax_number": "207-888-3733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "335 BRIGHTON AVE",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041022363",
            "telephone_number": "207-775-4000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "307 Plaza Dr",
            "address_purpose": "LOCATION",
            "city": "Dover",
            "state": "NH",
            "postal_code": "038202455",
            "country_code": "US",
            "telephone_number": "207-775-4000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FRIDMAN",
        "first_name": "FRED",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-06-15",
        "last_updated": "2025-05-09",
        "certification_date": "2025-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NH",
            "license": "18858",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "ME",
            "license": "DO2594",
            "primary": true
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "FL",
            "license": "OS20698",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA DEPARTMENT OF HEALTH",
            "identifier": "OS20698",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF NEW HAMPSHIRE BOARD OF MEDICINE",
            "identifier": "18858",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, ME

Sources for this page

Verify at the official NPI Registry.