Kelly Bree Fruehauf

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

TOC102677 Issued in PA

Practice address

8580 Verree Rd
Philadelphia, PA 19111-1370

Phone

(215) 214-2800

NPI assigned

Jun 27, 2013

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 PA

Enrollment records 1

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.

• Spectrum Fitness, LLC

  • Specialist
  • Northfield, NJ
  • NPI 1053750588

  PA

  Medicare reassignment NPD

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

{
    "created_epoch": "1372291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1372291200000",
    "number": "1174963797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "412 JUSTICE LN",
            "city": "MORRISVILLE",
            "state": "PA",
            "postal_code": "190674922",
            "telephone_number": "267-229-7254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8580 VERREE RD",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191111370",
            "telephone_number": "215-214-2800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRUEHAUF",
        "first_name": "KELLY",
        "middle_name": "BREE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-27",
        "last_updated": "2013-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "PA",
            "license": "TOC102677",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lindsay Frost, MD, MPH
• Nicole Frost, LMSW
• Hamad Froukh
• Mitchell Fruchtman, MD
• Tess Fruchtman
• Fruition Medicine PLLC (Fishtown Medicine)
• Fruits of the Family Table
• Anna C Fry
• Charles Walker Fry, M.D.
• Hailey Morgan Fry, PHARMD

• Occupational Therapist in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Occupational Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.