Individual provider Active NPI

Keith Frieling

  • Physical Therapist
  • Lamar, MO
National Provider Identifier
1568092138
Registry record updated Jan 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1999140145 Issued in MO
Practice address
29 NW 1St LN
Lamar, MO 64759-8105
Phone
(417) 681-5187
Fax
(417) 681-5519
NPI assigned
Jan 22, 2020
Last updated
Jan 22, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 1999140145 MO Primary

Addresses

Primary practice location

29 NW 1St LN
Lamar, MO 64759-8105

Mailing address

29 NW 1St LN
Lamar, MO 64759-8105

Other identifiers 1

IdentifierTypeStateIssuer
1999140145MedicaidMO

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Keith.Frieling@coxhealth.com Direct

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

State licenses

LicenseStateTypeSpecialty
1999140145MOMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1579651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579651200000",
    "number": "1568092138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 NW 1ST LN",
            "city": "LAMAR",
            "state": "MO",
            "postal_code": "647598105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 NW 1ST LN",
            "city": "LAMAR",
            "state": "MO",
            "postal_code": "647598105",
            "telephone_number": "417-681-5187",
            "fax_number": "417-681-5519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRIELING",
        "first_name": "KEITH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-01-22",
        "last_updated": "2020-01-22",
        "certification_date": "2020-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "1999140145",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1999140145",
            "state": "MO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Keith.Frieling@coxhealth.com",
            "affiliation": "N",
            "endpointDescription": "work email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "29 NW 1st Ln",
            "city": "LaMar",
            "state": "MO",
            "country_code": "US",
            "postal_code": "647598105",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lamar, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 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.