Active NPI
Chelsea Ann Friederichs
- Physical Therapist
- Plymouth, WI
National Provider Identifier
1316478670
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 11390-24
- Practice address
- 809 Ash Cir
Plymouth, WI 53073-4068 - Phone
- (906) 367-0797
- NPI assigned
- Mar 27, 2017
- Last updated
- Mar 27, 2017
- Sex
- Female
- Sole proprietor
- Yes
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 | 11390-24 | WI | Primary |
Addresses
Primary practice location
809 Ash Cir
Plymouth, WI 53073-4068
Mailing address
809 Ash Cir
Plymouth, WI 53073-4068
Phone (906) 367-0797
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 |
|---|---|---|---|
| 11390-24 | WI | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1490572800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1490572800000",
"number": "1316478670",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "809 ASH CIR",
"city": "PLYMOUTH",
"state": "WI",
"postal_code": "530734068",
"telephone_number": "906-367-0797"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "809 ASH CIR",
"city": "PLYMOUTH",
"state": "WI",
"postal_code": "530734068",
"telephone_number": "906-367-0797"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRIEDERICHS",
"first_name": "CHELSEA",
"middle_name": "ANN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-03-27",
"last_updated": "2017-03-27",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WI",
"license": "11390-24",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Plymouth, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.