Susan Frikken, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

12338-24 Issued in WI

Practice address

7 E Main St
Suite &
Evansville, WI 53536-1369

Phone

(602) 882-1388

NPI assigned

Dec 9, 2013

Last updated

Dec 9, 2013By the provider in NPPES

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 WI

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Yahara Therapy, LLC

  • Physical Therapist
  • Madison, WI
  • NPI 1417369257
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1386547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1386547200000",
    "number": "1134550627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 E MAIN ST",
            "address_2": "SUITE &",
            "city": "EVANSVILLE",
            "state": "WI",
            "postal_code": "535361369",
            "telephone_number": "602-882-1388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 E MAIN ST",
            "address_2": "SUITE &",
            "city": "EVANSVILLE",
            "state": "WI",
            "postal_code": "535361369",
            "telephone_number": "602-882-1388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRIKKEN",
        "first_name": "SUSAN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-12-09",
        "last_updated": "2013-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "12338-24",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Evansville Manor, Inc.
• Evm Operations LLC
• Valerie Ann Farnsworth, MHA, BSN, RN-C
• Kathryn Ann Forbes
• Gerald Donald Forstrom Jr., RN, BSN
• Maria Fernanda Ganoung
• Monique Gentry, RN
• Justin George, PTA
• John C Gernetzke, D.D.S.
• GL Healthcare

• Physical Therapist in Evansville, WI
• Providers in Evansville, WI by specialty
• Physical Therapist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2013; 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.