Kjersten Julia Frerichs, OTR

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT00003902 Issued in WA

Practice address

1191 E Newport Center Dr
Suite PH-J
Deerfield Beach, FL 33442-7715

Phone

(954) 379-1066

NPI assigned

Apr 13, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1176422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1255564800000",
    "number": "1467677757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "865 S HIGHLAND RD",
            "city": "OTHELLO",
            "state": "WA",
            "postal_code": "993449519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1191 E NEWPORT CENTER DR",
            "address_2": "SUITE PH-J",
            "city": "DEERFIELD BEACH",
            "state": "FL",
            "postal_code": "334427715",
            "telephone_number": "954-379-1066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRERICHS",
        "first_name": "KJERSTEN",
        "middle_name": "JULIA",
        "credential": "OTR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-13",
        "last_updated": "2009-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "OT 12518",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WA",
            "license": "OT00003902",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura M Freedman, MD
• Freedom House USA, LLC
• Nathaniel Freeman Jr.
• Constance Virginia French
• Tynya Ishawna French
• Dori Fried-Cousley
• Allyson Frimet
• Danielle Frostman
• FS Tenant Pool III Trust
• Beatriz Fuentes

• Occupational Therapist in Deerfield Beach, FL
• Providers in Deerfield Beach, FL by specialty
• Occupational Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2009; 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.