Active NPI
Kristina Frimmel, MA, CCC-SLP
- Speech-Language Pathologist
- Troy, MI
National Provider Identifier
1356826416
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 7101002637
- Practice address
- 1950 E Wattles Rd Ste 108
Troy, MI 48085-5079 - Phone
- (248) 606-0551
- NPI assigned
- Sep 25, 2018
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 7101002637 | MI | Primary |
| Physical Therapist | 225100000X |
Addresses
Primary practice location
1950 E Wattles Rd Ste 108
Troy, MI 48085-5079
Mailing address
1950 E Wattles Rd Ste 108
Troy, MI 48085-5079
Phone (248) 606-0551
Other practice location 1
4949 Coolidge Hwy
Royal Oak, MI 48073-1026
Phone (248) 655-5975
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | kristina.frimmel@fundamentaltherapies.com |
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
- Credentials
- Master of Arts
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1537833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1623715200000",
"number": "1356826416",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1950 E WATTLES RD STE 108",
"city": "TROY",
"state": "MI",
"postal_code": "480855079",
"telephone_number": "248-606-0551"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1950 E WATTLES RD STE 108",
"city": "TROY",
"state": "MI",
"postal_code": "480855079",
"telephone_number": "248-606-0551"
}
],
"practiceLocations": [
{
"address_1": "4949 Coolidge Hwy",
"address_purpose": "LOCATION",
"city": "Royal Oak",
"state": "MI",
"postal_code": "480731026",
"country_code": "US",
"telephone_number": "248-655-5975",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FRIMMEL",
"first_name": "KRISTINA",
"credential": "MA, CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-09-25",
"last_updated": "2021-06-15",
"certification_date": "2021-06-15",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "MI",
"license": "7101002637",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "kristina.frimmel@fundamentaltherapies.com",
"affiliation": "N",
"endpointDescription": "Email address",
"address_1": "1950 E Wattles Rd Ste 108",
"city": "Troy",
"state": "MI",
"country_code": "US",
"postal_code": "480855079",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Troy, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.