Alexandra Fredas

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

40QA01681900 Issued in NJ

Practice address

644 Valley Rd
Gillette, NJ 07933-2012

Phone

(908) 991-3761

Fax

(908) 991-3770

NPI assigned

Jun 10, 2019

Last updated

Jun 10, 2019By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1560124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560124800000",
    "number": "1265091573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "170 HARDING RD",
            "city": "SCOTCH PLAINS",
            "state": "NJ",
            "postal_code": "070761441",
            "telephone_number": "516-322-5468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "644 VALLEY RD",
            "city": "GILLETTE",
            "state": "NJ",
            "postal_code": "079332012",
            "telephone_number": "908-991-3761",
            "fax_number": "908-991-3770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREDAS",
        "first_name": "ALEXANDRA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-10",
        "last_updated": "2019-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01681900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Essential Foundations Pelvic Physical Therapy
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• Emily Folino, PT, DPT
• Jennifer L Franz, BS DC
• Paul R. Franz, D.C.
• Individual Physical Therapy and Wellness LLC (Individual Physical Therapy)
• Seide Val Jeanty
• Lauren Kirov, DPT
• Tracy Lynn Koller, MSW, LCSW
• Long Hill Dental LLC

• Physical Therapist in Gillette, NJ
• Providers in Gillette, NJ by specialty
• Physical Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2019; 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.