Active NPI
Fred Fridman, D.O.
- Physical Medicine & Rehabilitation Physician
- Portland, ME
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- DO2594
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| OS20698 | Other | FL | FLORIDA DEPARTMENT OF HEALTH |
| 18858 | Other | NH | STATE OF NEW HAMPSHIRE BOARD OF MEDICINE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ME, NH, FL, NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 4
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| OS20698 | FL | MD | Physical Medicine & Rehabilitation Physician |
| DO2594 | ME | MD | Physical Medicine & Rehabilitation Physician |
| 18858 | NH | MD | Physical Medicine & Rehabilitation Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pai Participant 7 PC | Current | Accepting new patients | |
| Palliative Care Consultants PC | Past | 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.
| Facility | Type | Role | Since |
|---|---|---|---|
| LTC LLC | Skilled nursing facility | Operational/Managerial Control Adp of the SNF |
Nov 1, 2024 Jul 11, 2024 |
| Maine Medical Partners | Skilled nursing facility | Operational/Managerial Control Adp of the SNF |
Jul 11, 2024 Jul 11, 2024 |
| Woodlawn Rehabilitation and Nursing Center | Skilled nursing facility | Operational/Managerial Control Adp of the SNF |
Jul 11, 2024 Jul 11, 2024 |
| Stillwater Healthcare LLC | Skilled nursing facility | Operational/Managerial Control Adp of the SNF |
Jul 11, 2024 Jul 11, 2024 |
| Hibbard Skilled Nursing Center | 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.
-
- Skilled Nursing Facility
- Dexter, ME
- NPI 1487640520
Adp of the SNF, Operational/Managerial Control
-
- Skilled Nursing Facility
- Dover-Foxcroft, ME
- NPI 1184052243
Adp of the SNF
-
- Skilled Nursing Facility
- Bangor, ME
- NPI 1962499053
Adp of the SNF, Operational/Managerial Control
-
- Skilled Nursing Facility
- Bangor, ME
- NPI 1063493138
Adp of the SNF, Operational/Managerial Control
-
- Skilled Nursing Facility
- Skowhegan, ME
- NPI 1518948348
Adp of the SNF, Operational/Managerial Control
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.
-
- Physical Medicine & Rehabilitation Physician
- Portland, ME
- NPI 1629430087
FL, NH, NY
-
- Geriatric Medicine (Internal Medicine) Physician
- Falmouth, ME
- NPI 1548829872
-
- Hospice and Palliative Medicine (Family Medicine) Physician
- Portland, ME
- NPI 1205626629
-
- Rehabilitation Hospital
- Portland, ME
- NPI 1194799023
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
- 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.