Todd David Freitag

Primary specialty

Home Modifications ContractorTaxonomy code 171WH0202X

License

20933 Issued in ND

Practice address

2011 Lovett Ave
Bismarck, ND 58504-6738

Phone

(701) 222-0783

Fax

(701) 222-3911

NPI assigned

Apr 8, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 5

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Gouniversal LLC

  • Durable Medical Equipment & Medical Supplies
  • Bismarck, ND
  • NPI 1487277877
  NPD

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

{
    "created_epoch": "1586304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590969600000",
    "number": "1518596709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2011 LOVETT AVE",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585046738",
            "telephone_number": "701-222-0783",
            "fax_number": "701-222-3911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2011 LOVETT AVE",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585046738",
            "telephone_number": "701-222-0783",
            "fax_number": "701-222-3911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREITAG",
        "first_name": "TODD",
        "middle_name": "DAVID",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-04-08",
        "last_updated": "2020-06-01",
        "certification_date": "2020-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": "ND",
            "license": "20933",
            "primary": false
        },
        {
            "code": "171WH0202X",
            "taxonomy_group": "",
            "desc": "Contractor, Home Modifications",
            "state": "ND",
            "license": null,
            "primary": false
        },
        {
            "code": "224ZE0001X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant, Environmental Modification",
            "state": "MT",
            "license": "4665",
            "primary": false
        },
        {
            "code": "224ZE0001X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant, Environmental Modification",
            "state": "ND",
            "license": "1450",
            "primary": false
        },
        {
            "code": "171WH0202X",
            "taxonomy_group": "",
            "desc": "Contractor, Home Modifications",
            "state": "ND",
            "license": "20933",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amber D Fredrickson, DPT, ATC
• Ward Fredrickson
• Freds Eden Park Caring Homes LLC
• Freds Transportation Caring LLC
• Heather A Freitag, CRNA
• Jessica Freuer, MOT, OTR/L
• Lisa Fridley
• Elizabeth Fridrich, PA-C
• Denise Eileen Fried, PA-C
• Rachel Katherine Friedl

• Home Modifications Contractor in Bismarck, ND
• Providers in Bismarck, ND by specialty
• Home Modifications Contractor in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2020; 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.