Heather Marie Freid, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

A1683 Issued in MN

Practice address

2925 Chicago Ave
Minneapolis, MN 55407-1321

Phone

(612) 961-5611

NPI assigned

Mar 5, 2013

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

Other names 1

• Heather Marie Fosness Former name

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": "1362441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678406400000",
    "number": "1376884189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7403 QUEENS AVE NE",
            "city": "OTSEGO",
            "state": "MN",
            "postal_code": "553306430",
            "telephone_number": "612-961-5611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2925 CHICAGO AVE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554071321",
            "telephone_number": "612-961-5611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREID",
        "first_name": "HEATHER",
        "middle_name": "MARIE",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-05",
        "last_updated": "2023-03-10",
        "certification_date": "2023-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "MN",
            "license": "A1683",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HEATHER",
            "last_name": "FOSNESS",
            "middle_name": "MARIE",
            "credential": "PTA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Michelle Marie Frees, MD
• Laura Jane Freese, SLP
• John Humbird Freesmeier, DO
• Madison Freiberg
• Keegan Freiburger, LICSW
• Laurie Freier, PA-C
• Mary Freitag, PSYD, LP
• Tasha Beck Freitag, CRNP
• Daniel J Fremont, RPH
• Kate Shannon Fremstad

• Physical Therapy Assistant in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Physical Therapy Assistant in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2023; 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.