Bridget Fredrickson, COTA/L

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

OC 00001228 Issued in WA

Practice address

1224 E Westview CT
Spokane, WA 99218-3813

Phone

(509) 467-5626

NPI assigned

Jan 22, 2016

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1453420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453420800000",
    "number": "1326405259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17675 N SUNNYVALE DR",
            "city": "NINE MILE FALLS",
            "state": "WA",
            "postal_code": "990268304",
            "telephone_number": "509-467-5626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1224 E WESTVIEW CT",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992183813",
            "telephone_number": "509-467-5626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREDRICKSON",
        "first_name": "BRIDGET",
        "credential": "COTA/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-01-22",
        "last_updated": "2016-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "WA",
            "license": "OC 00001228",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leila Frederick
• Lola K. Frederick
• Miranda N Frederick, DPT
• Nayeli Aide Fredericks, M.A., BCBA
• Marci Jane Fredricks
• Raymond Gene Fredrickson, MSW, LICSW, SUDPT
• Free 2 Achieve PLLC
• Free Air Life, Inc.
• Free Motion Physical Therapy LLC
• Gillian Freeby

• Occupational Therapy Assistant in Spokane, WA
• Providers in Spokane, WA by specialty
• Occupational Therapy Assistant in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2016; 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.