Rebecca A Fries, MOT OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

056008236 Issued in IL

Practice address

965 N. Brighton Circle West
Crystal Lake, IL 60012-2036

Phone

(815) 459-6395

NPI assigned

May 19, 2009

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 IL

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Legacy Healthcare Services IncGroup PAC ID 2163339722, 3,431 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Legacy Healthcare Services Inc

  • Physical Therapist
  • Grayslake, IL
  • NPI 1689141376

  Occupational Therapist

  Medicare reassignment Care Compare group NPD
• Legacy Healthcare Services Inc

  • Physical Therapist
  • Cary, NC
  • NPI 1225879489

  Occupational Therapist

  NPD
• Libertyville Manor Extended Care Facility, Inc.

  • Skilled Nursing Facility
  • Libertyville, IL
  • NPI 1952390585
  NPD (past)

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

{
    "created_epoch": "1242691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343952000000",
    "number": "1144455155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "965 N BRIGHTON CIR",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600122036",
            "telephone_number": "815-459-6395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "965 N. BRIGHTON CIRCLE WEST",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600122036",
            "telephone_number": "815-459-6395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRIES",
        "first_name": "REBECCA",
        "middle_name": "A",
        "credential": "MOT OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-05-19",
        "last_updated": "2012-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IL",
            "license": "056008236",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Merisa R Freeman
• Brett David Freitag, OD
• Douglas French, RPH
• Shauneen Freund
• Isabelle N Friedman, LSW
• Kristine Michelle Frisone
• Marianne Catherine Fritsch, LCSW
• Joseph A Fritz, DDS
• Wendy Fritz, P.T.
• Amy Lynn Fujino, LCPC

• Occupational Therapist in Crystal Lake, IL
• Providers in Crystal Lake, IL by specialty
• Occupational Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2012; 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.