Active NPI
Jessica Leann Frerichs, PT
- Physical Therapist
- Hillsboro, IL
National Provider Identifier
1417121997
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Practice address
- 1200 E Tremont St
Hillsboro, IL 62049-1912 - Phone
- (217) 532-4160
- NPI assigned
- Apr 16, 2008
- 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 | IL | Primary |
Addresses
Primary practice location
1200 E Tremont St
Hillsboro, IL 62049-1912
Mailing address
1112 N Illinois Ave
Litchfield, IL 62056-2813
Phone (217) 324-5736
Other names 1
- Jessica Leann Williams
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 070011902 | IL | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1208304000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1208304000000",
"number": "1417121997",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1112 N ILLINOIS AVE",
"city": "LITCHFIELD",
"state": "IL",
"postal_code": "620562813",
"telephone_number": "217-324-5736"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 E TREMONT ST",
"city": "HILLSBORO",
"state": "IL",
"postal_code": "620491912",
"telephone_number": "217-532-4160"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRERICHS",
"first_name": "JESSICA",
"middle_name": "LEANN",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-04-16",
"last_updated": "2008-04-16",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JESSICA",
"last_name": "WILLIAMS",
"middle_name": "LEANN",
"credential": "PT",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Hillsboro, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.