Active NPI
Jennifer Ann Frees, OTR/L, CLT
- Occupational Therapist
- Gretna, NE
National Provider Identifier
1447622188
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 1921
- Practice address
- 17024 Morgan Ave
Gretna, NE 68028-3837 - Phone
- (402) 714-3575
- NPI assigned
- Oct 21, 2015
- Last updated
- Nov 10, 2021
- 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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 1921 | NE | Primary |
Addresses
Primary practice location
17024 Morgan Ave
Gretna, NE 68028-3837
Mailing address
17204 Morgan Ave
Gretna, NE 68028-3865
Phone (402) 714-3575
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NE
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
17204 Morgan Ave
Gretna, NE 68028-3865
Phone (402) 714-3575
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1921 | NE | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Propel Therapy, LLC | Current | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Rehabilitation Clinic/Center
- Gretna, NE
- NPI 1063178044
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1445385600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1636502400000",
"number": "1447622188",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17204 MORGAN AVE",
"city": "GRETNA",
"state": "NE",
"postal_code": "680283865",
"telephone_number": "402-714-3575"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17024 MORGAN AVE",
"city": "GRETNA",
"state": "NE",
"postal_code": "680283837",
"telephone_number": "402-714-3575"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FREES",
"first_name": "JENNIFER",
"middle_name": "ANN",
"name_prefix": "Mrs.",
"credential": "OTR/L, CLT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-10-21",
"last_updated": "2021-11-10",
"certification_date": "2021-11-10",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NE",
"license": "1921",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gretna, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2021; 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.