Active NPI
Sandra Lynn Friederichs, MOT/L
- Pediatric Occupational Therapist
- Flagstaff, AZ
National Provider Identifier
1427337591
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- License
- OTH-004729
- Practice address
- 3285 E Sparrow Ave
Flagstaff, AZ 86004-7794 - Phone
- (928) 527-6000
- NPI assigned
- Aug 8, 2011
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Pediatric Occupational Therapist | 225XP0200X | OTH-004729 | AZ | Primary |
Addresses
Primary practice location
3285 E Sparrow Ave
Flagstaff, AZ 86004-7794
Mailing address
4748 S Dory TRL
Flagstaff, AZ 86005-8374
Phone (978) 866-9823
Other names 1
- Ms. Sandra Lynn Widmer
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Theraplay4Kidz, LLC | Occupational Therapist | Current | Accepting new patients |
| Flagstaff Unified School District #1 | Past | Accepting new patients | |
| Achievement Therapy Services | Past | Accepting new patients | |
| Flagstaff Unified School District | Past | Accepting new patients |
Locations
21045 N 9th Pl
Ste 204
Phoenix, AZ 85024
Phone (480) 548-2601
530 E McDowell Rd
Ste 107495
Phoenix, AZ 85004
9525 E Doubletree Ranch Rd
Ste 101
Scottsdale, AZ 85258
Phone (480) 488-3946
Organizations & group practices 4
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.
-
- Home Health Agency
- Scottsdale, AZ
- NPI 1265499701
-
- Student in an Organized Health Care Education/Training Program
- Flagstaff, AZ
- NPI 1275747206
-
- Local Education Agency (LEA)
- Flagstaff, AZ
- NPI 1407982226
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1312761600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1660176000000",
"number": "1427337591",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4748 S DORY TRL",
"city": "FLAGSTAFF",
"state": "AZ",
"postal_code": "860058374",
"telephone_number": "978-866-9823"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3285 E SPARROW AVE",
"city": "FLAGSTAFF",
"state": "AZ",
"postal_code": "860047794",
"telephone_number": "928-527-6000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRIEDERICHS",
"first_name": "SANDRA",
"middle_name": "LYNN",
"name_prefix": "Mrs.",
"credential": "MOT/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-08-08",
"last_updated": "2022-08-11",
"certification_date": "2022-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "AZ",
"license": "OTH-004729",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SANDRA",
"last_name": "WIDMER",
"middle_name": "LYNN",
"prefix": "MS.",
"credential": "OTR/L",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Flagstaff, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.