Active NPI
Monica Riordan Frydach, PT, DPT
- Physical Therapist
- Milwaukee, WI
National Provider Identifier
1285191205
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 12446-24
- Practice address
- 5000 W Chambers St
Milwaukee, WI 53210-1650 - Phone
- (414) 447-2209
- Fax
- (414) 874-4024
- NPI assigned
- Feb 26, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 12446-24 | WI | Primary |
Addresses
Primary practice location
5000 W Chambers St
Milwaukee, WI 53210-1650
Mailing address
W147N8313 Manchester Dr
Menomonee Falls, WI 53051-3917
Phone (847) 922-0274
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12446-24 | WI | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1551139200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1551139200000",
"number": "1285191205",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "W147N8313 MANCHESTER DR",
"city": "MENOMONEE FALLS",
"state": "WI",
"postal_code": "530513917",
"telephone_number": "847-922-0274"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5000 W CHAMBERS ST",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532101650",
"telephone_number": "414-447-2209",
"fax_number": "414-874-4024"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRYDACH",
"first_name": "MONICA",
"middle_name": "RIORDAN",
"name_prefix": "Dr.",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-02-26",
"last_updated": "2019-02-26",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WI",
"license": "12446-24",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Milwaukee, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 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.