Shawn Friede, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

070.019008 Issued in IL

Practice address

501 W Fabyan Pkwy
Batavia, IL 60510-1267

Phone

(630) 524-2445

NPI assigned

Mar 26, 2007

Last updated

Jun 29, 2020By 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 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ryan Brinka PCGroup PAC ID 3577730332, 5 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Ryan Brinka P.C.

  • Chiropractor
  • Batavia, IL
  • NPI 1376812453
  Medicare reassignment Care Compare group NPD
• Sharratt Chiropractic LLC

  dba Sharratt Chiropractic

  • Chiropractor
  • Batavia, IL
  • NPI 1831407451
  NPD
• Innovative Sports Medicine LLC

  • Chiropractor
  • Batavia, IL
  • NPI 1881963163

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593388800000",
    "number": "1306963954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1N878 KILLARNEY CT",
            "city": "ELBURN",
            "state": "IL",
            "postal_code": "601199128",
            "telephone_number": "260-402-0872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 W FABYAN PKWY",
            "city": "BATAVIA",
            "state": "IL",
            "postal_code": "605101267",
            "telephone_number": "630-524-2445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRIEDE",
        "first_name": "SHAWN",
        "name_prefix": "Ms.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-26",
        "last_updated": "2020-06-29",
        "certification_date": "2020-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IN",
            "license": "05006553A",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070.019008",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000480307",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Fox Valley Medicine, LTD.
• Emma Milnamow Fox
• Kristine Francis, SLP
• Kim Freedlund
• Fresenius Medical Care Batavia, LLC (Fresenius Medical Care West Batavia)
• Nina G Gabriel, RPH
• Amy Gaffney, M.S.
• Madeline Gale
• Lou C Gallagher, LCPC
• Jacob Garrison

• Physical Therapist in Batavia, IL
• Providers in Batavia, IL by specialty
• Physical Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2020; 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.