Rylie Ashlyn Frizzell, COTA/L

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

2021041800 Issued in MO

Practice address

300 Floyd Dr
Sikeston, MO 63801-3960

Phone

(573) 472-0397

NPI assigned

Feb 17, 2022

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Kenny Rogers Children'S Center

  • Occupational Therapy Assistant
  • Sikeston, MO
  • NPI 1013026194
  NPD (past)
• Mercy Clinic Children'S Surgery, LLC

  • Pediatric Surgery Physician
  • St. Louis, MO
  • NPI 1649349804
  NPD (past)

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

{
    "created_epoch": "1645056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645056000000",
    "number": "1407501414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2568 LISA DR APT 4",
            "city": "CAPE GIRARDEAU",
            "state": "MO",
            "postal_code": "637012381",
            "telephone_number": "573-625-9430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 FLOYD DR",
            "city": "SIKESTON",
            "state": "MO",
            "postal_code": "638013960",
            "telephone_number": "573-472-0397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRIZZELL",
        "first_name": "RYLIE",
        "middle_name": "ASHLYN",
        "credential": "COTA/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-17",
        "last_updated": "2022-02-17",
        "certification_date": "2022-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "MO",
            "license": "2021041800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abigail Guirnela Fortich, RPT
• Miranda Kaylen Foshee, PMHNP-BC
• Tammy S Fowler, FNP
• Tristan Ross Peregrino Fowler, DO
• Cara Rene Frazier, COTA/L
• Boris Frohman, MD
• Lydia St. Clair Frye, LPC
• Holly Nicole Fults, OTR/L
• G. Wendell Weathers, D.D.S., P.C.
• Daisy Florentino Galang, PT

• Occupational Therapy Assistant in Sikeston, MO
• Providers in Sikeston, MO by specialty
• Occupational Therapy Assistant in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2022; 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.