Laura Fraider, PTA

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Practice address

1040 Dixie Hwy
Chicago Heights, IL 60411-2623

Phone

(708) 300-6961

Fax

(708) 515-9723

NPI assigned

Nov 13, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 5

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1384300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1384300800000",
    "number": "1437589355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20159 S FAIRWOOD CT",
            "city": "FRANKFORT",
            "state": "IL",
            "postal_code": "604236992",
            "telephone_number": "708-257-5033",
            "fax_number": "708-515-9723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1040 DIXIE HWY",
            "city": "CHICAGO HEIGHTS",
            "state": "IL",
            "postal_code": "604112623",
            "telephone_number": "708-300-6961",
            "fax_number": "708-515-9723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRAIDER",
        "first_name": "LAURA",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-11-13",
        "last_updated": "2013-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTA LICENSURE",
            "identifier": "160000354",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Barbora Fekete, D.C.
• Lori Fender, APN/CNM
• First Rate Rehabilitation Group, Inc
• Melinda Renee Fitzgerald, NP
• Flossmoor School District 161
• Franciscan Health Olympia Fields & Chicago Heights
• Franciscan Physician Network
• Franciscan Physician Network
• Porshia Franklin
• Tyra Franklin

• Assisted Living Facility in Chicago Heights, IL
• Providers in Chicago Heights, IL by specialty
• Assisted Living Facility in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2013; 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.