Individual provider Active NPI

Kristjan Ingi Fridriksson, PT

  • Orthopedic Physical Therapist
  • Mobile, AL
National Provider Identifier
1386675312
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
PTH3558 Issued in AL
Practice address
5920 Grelot Rd
Building H, Suite B
Mobile, AL 36609-3606
Phone
(251) 343-1178
Fax
(251) 343-1741
NPI assigned
Jul 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X PTH3558 AL Primary

Addresses

Primary practice location

5920 Grelot Rd
Building H, Suite B
Mobile, AL 36609-3606

Mailing address

5920 Grelot Rd
Building H, Suite B
Mobile, AL 36609-3606
Phone (251) 343-1178

Other identifiers 1

IdentifierTypeStateIssuer
51501631OtherALBCBS OF ALABAMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110221000075 AL Practitioner - Physical Therapist in Private Practice 6800987272 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kristjan Fridriksson Physical Therapy Services, IncGroup PAC ID 8022109495, 2 clinicians

Practice addresses (Care Compare)

5901 Grelot Rd
Mobile, AL 36609-3603
Phone (251) 343-1178

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Kristjan Fridriksson Physical Therapy Services, Inc CurrentSince May 14, 2001 Accepting new patients

Locations

5920 Grelot Rd
Bldg H
Mobile, AL 36609
Phone (251) 343-1178

5901 Grelot Rd
Ste B
Mobile, AL 36609
Phone (251) 343-1178

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1386675312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5920 GRELOT RD",
            "address_2": "BUILDING H, SUITE B",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366093606",
            "telephone_number": "251-343-1178",
            "fax_number": "251-343-1741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5920 GRELOT RD",
            "address_2": "BUILDING H, SUITE B",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366093606",
            "telephone_number": "251-343-1178",
            "fax_number": "251-343-1741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRIDRIKSSON",
        "first_name": "KRISTJAN",
        "middle_name": "INGI",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "AL",
            "license": "PTH3558",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF ALABAMA",
            "identifier": "51501631",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mobile, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.