Organization Active NPI

Therapeutic Edge LLC

  • Recreation Therapist
  • Washington TWP, MI
National Provider Identifier
1144162033
Registry record updated Apr 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Recreation TherapistTaxonomy code 225800000X
Legal business name
THERAPEUTIC EDGE LLC
Practice address
63673 Monticello W
Washington TWP, MI 48095-2452
Phone
(586) 871-0272
NPI assigned
Apr 8, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2026

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

Authorized official

Name
Jennifer FregoliNPI 1831071166
Title
Owner/Provider
Phone
(586) 871-0272

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Recreation TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225800000X Primary

Addresses

Primary practice location

63673 Monticello W
Washington TWP, MI 48095-2452

Mailing address

63673 Monticello W
Washington TWP, MI 48095-2452

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1775606400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775606400000",
    "number": "1144162033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "63673 MONTICELLO W",
            "city": "WASHINGTON TWP",
            "state": "MI",
            "postal_code": "480952452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "63673 MONTICELLO W",
            "city": "WASHINGTON TWP",
            "state": "MI",
            "postal_code": "480952452",
            "telephone_number": "586-871-0272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERAPEUTIC EDGE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-08",
        "last_updated": "2026-04-08",
        "certification_date": "2026-04-08",
        "status": "A",
        "authorized_official_last_name": "FREGOLI",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "586-871-0272"
    },
    "taxonomies": [
        {
            "code": "225800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Recreation Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington TWP, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2026; 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.