Organization Active NPI

Kristen K Freiberg LLC

  • Occupational Therapist
  • Oak Creek, WI
National Provider Identifier
1376771931
Registry record updated Jun 22, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
056006028 Issued in IL
Legal business name
KRISTEN K FREIBERG LLC
Practice address
1002 W Potomac Dr
Oak Creek, WI 53154-3743
Phone
(262) 893-8516
NPI assigned
Jun 22, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Kristen K Freiberg, OTR/L
Title
Owner/Occupational Therapist
Phone
(262) 893-8516

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225X00000X 056006028 IL Primary

Addresses

Primary practice location

1002 W Potomac Dr
Oak Creek, WI 53154-3743

Mailing address

1002 W Potomac Dr
Oak Creek, WI 53154-3743
Phone (262) 893-8516

Other identifiers 1

IdentifierTypeStateIssuer
399821400001MedicaidIL

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1245628800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245628800000",
    "number": "1376771931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1002 W POTOMAC DR",
            "city": "OAK CREEK",
            "state": "WI",
            "postal_code": "531543743",
            "telephone_number": "262-893-8516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1002 W POTOMAC DR",
            "city": "OAK CREEK",
            "state": "WI",
            "postal_code": "531543743",
            "telephone_number": "262-893-8516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KRISTEN K FREIBERG LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-22",
        "last_updated": "2009-06-22",
        "status": "A",
        "authorized_official_last_name": "FREIBERG",
        "authorized_official_first_name": "KRISTEN",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER/OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "262-893-8516",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": "IL",
            "license": "056006028",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "399821400001",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Creek, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2009; 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.