Malinda A Fryklund, OTR

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

3872-026 Issued in WI

Practice address

1190 E Paradise Dr
West Bend, WI 53095-5444

Phone

(262) 306-6319

NPI assigned

Aug 5, 2006

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

Other names 1

• Malinda A Gruen Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1144239674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 W PARADISE DR",
            "city": "WEST BEND",
            "state": "WI",
            "postal_code": "530959795",
            "telephone_number": "262-334-3451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1190 E PARADISE DR",
            "city": "WEST BEND",
            "state": "WI",
            "postal_code": "530955444",
            "telephone_number": "262-306-6319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRYKLUND",
        "first_name": "MALINDA",
        "middle_name": "A",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WI",
            "license": "3872-026",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MALINDA",
            "last_name": "GRUEN",
            "middle_name": "A",
            "credential": "OTR",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Froedtert &the Medical College of Wisconsin Community Physicians, Inc.
• Froedtert Health
• Froedtert Health Pharmacy LLC
• Froedtert Health Pharmacy LLC
• James D Froehlich
• Lori Dawn Futh, OTR
• Zoran D Gajic, MD
• Micayla Grace Gall, LM, CPM, RN
• Zachary Gambrell
• Sandra Jean Garbrecht, L.P.N.

• Occupational Therapist in West Bend, WI
• Providers in West Bend, WI by specialty
• Occupational Therapist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.