Active NPI
Rivka Tova Fredman, P.T.
- Physical Therapist
- Far Rockaway, NY
National Provider Identifier
1487933230
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 009115
- Practice address
- 2917 Bailey CT
Far Rockaway, NY 11691-1632 - Phone
- (718) 868-1780
- NPI assigned
- Aug 11, 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 009115 | NY | Primary |
Addresses
Primary practice location
2917 Bailey CT
Far Rockaway, NY 11691-1632
Mailing address
2917 Bailey CT
Far Rockaway, NY 11691-1632
Phone (718) 868-1780
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1313020800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1313020800000",
"number": "1487933230",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2917 BAILEY CT",
"city": "FAR ROCKAWAY",
"state": "NY",
"postal_code": "116911632",
"telephone_number": "718-868-1780"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2917 BAILEY CT",
"city": "FAR ROCKAWAY",
"state": "NY",
"postal_code": "116911632",
"telephone_number": "718-868-1780"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FREDMAN",
"first_name": "RIVKA",
"middle_name": "TOVA",
"name_prefix": "Ms.",
"credential": "P.T.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-08-11",
"last_updated": "2011-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "009115",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Far Rockaway, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.