Bridget M Friedrichsen, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

3262 Issued in IA

Practice address

300 Sioux Valley Dr
Anerokee, IA 51012

Phone

(712) 225-1502

Fax

(712) 732-5153

NPI assigned

Feb 5, 2007

Last updated

Aug 21, 2023By 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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Sports Rehab & Professional Therapy Associates

  • Customized Equipment (DME)
  • Storm Lake, IA
  • NPI 1285772970
  NPD (past)
• Sports Rehab and Professional Therapy Associates Inc

  dba Sports Rehab & Professional Therapy

  • Rehabilitation Clinic/Center
  • Storm Lake, IA
  • NPI 1033289749

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692576000000",
    "number": "1245379544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 SIOUX VALLEY DR",
            "city": "ANEROKEE",
            "state": "IA",
            "postal_code": "51012",
            "telephone_number": "712-225-1502",
            "fax_number": "712-732-5153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 SIOUX VALLEY DR",
            "city": "ANEROKEE",
            "state": "IA",
            "postal_code": "51012",
            "telephone_number": "712-225-1502",
            "fax_number": "712-732-5153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRIEDRICHSEN",
        "first_name": "BRIDGET",
        "middle_name": "M",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-05",
        "last_updated": "2023-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IA",
            "license": "3262",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMARK BCBS OF IOWA",
            "identifier": "41394",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2023; 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.