Active NPI
Delton Friesen, OT
- Occupational Therapist
- Grand Island, NE
National Provider Identifier
1316908973
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 353
- Practice address
- 620 N Diers Ave Ste 300
Grand Island, NE 68803-4985 - Phone
- (308) 382-0344
- Fax
- (308) 382-3241
- NPI assigned
- Mar 31, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 353 | NE | Primary |
Addresses
Primary practice location
620 N Diers Ave Ste 300
Grand Island, NE 68803-4985
Mailing address
PO Box 5285
Grand Island, NE 68802-5285
Phone (308) 675-1853
Other names 1
- Delton Friesen
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NE
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
620 N Diers Ave
Suite 300
Grand Island, NE 68803-4985
Phone (308) 382-0344
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.76 of 100
- Quality
- 89.57
- Improvement activities
- 40
- Cost
- 71.67
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 353 | NE | MD | Foot & Ankle Surgery Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Go Physical Therapy, LLC | Current | Accepting new patients | |
| Alpha Rehabilitation Central LLC | Past | Accepting new patients |
Locations
620 N Diers Ave
Ste 300
Grand Island, NE 68803
Phone (308) 382-0344
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Therapist
- Grand Island, NE
- NPI 1184627911
-
- Physical Therapy Clinic/Center
- Kearney, NE
- NPI 1588063945
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143763200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1645142400000",
"number": "1316908973",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5285",
"city": "GRAND ISLAND",
"state": "NE",
"postal_code": "688025285",
"telephone_number": "308-675-1853",
"fax_number": "308-210-4121"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "620 N DIERS AVE STE 300",
"city": "GRAND ISLAND",
"state": "NE",
"postal_code": "688034985",
"telephone_number": "308-382-0344",
"fax_number": "308-382-3241"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRIESEN",
"first_name": "DELTON",
"credential": "OT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-31",
"last_updated": "2022-02-18",
"certification_date": "2022-02-18",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NE",
"license": "353",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "DELTON",
"last_name": "FRIESEN",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Grand Island, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2022; 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.