Active NPI
Michelle Rae Fredrick, PT
- Physical Therapist
- Atkinson, NE
National Provider Identifier
1376730283
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1938
- Practice address
- 406 W Neely St
Atkinson, NE 68713-4801 - Phone
- (402) 925-2811
- Fax
- (402) 925-2810
- NPI assigned
- Sep 25, 2007
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1938 | NE | Primary |
Addresses
Primary practice location
406 W Neely St
Atkinson, NE 68713-4801
Mailing address
406 W Neely St
Atkinson, NE 68713-4801
Phone (402) 925-2811
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)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1190678400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1190678400000",
"number": "1376730283",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "406 W NEELY ST",
"city": "ATKINSON",
"state": "NE",
"postal_code": "687134801",
"telephone_number": "402-925-2811",
"fax_number": "402-925-2810"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "406 W NEELY ST",
"city": "ATKINSON",
"state": "NE",
"postal_code": "687134801",
"telephone_number": "402-925-2811",
"fax_number": "402-925-2810"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FREDRICK",
"first_name": "MICHELLE",
"middle_name": "RAE",
"name_prefix": "Mrs.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-09-25",
"last_updated": "2007-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NE",
"license": "1938",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Atkinson, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.