Samantha Fruehling, OTR/L, DCCI

Primary specialty

Physical Rehabilitation Occupational TherapistTaxonomy code 225XP0019X

License

5201008755 Issued in MI

Practice address

2100 Raybrook St SE
Grand Rapids, MI 49546-7759

Phone

(616) 235-5000

NPI assigned

Mar 9, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1520553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702425600000",
    "number": "1568965184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1720 WEYMOUTH DR SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495083711",
            "telephone_number": "810-730-1791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 RAYBROOK ST SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495467759",
            "telephone_number": "616-235-5000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "418 Washington St",
            "address_purpose": "LOCATION",
            "city": "Lakeview",
            "state": "MI",
            "postal_code": "488507102",
            "country_code": "US",
            "telephone_number": "989-352-1610",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "615 S Bower St",
            "address_purpose": "LOCATION",
            "city": "Greenville",
            "state": "MI",
            "postal_code": "488382614",
            "country_code": "US",
            "telephone_number": "989-352-7650",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FRUEHLING",
        "first_name": "SAMANTHA",
        "credential": "OTR/L, DCCI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-09",
        "last_updated": "2023-12-13",
        "certification_date": "2023-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0019X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Physical Rehabilitation",
            "state": "MI",
            "license": "5201008755",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jason R. Frost, D.O.
• Mary Frost
• Tricia Allison Frost, LMSW, CAADC
• Aaron Frostick, LMSW
• Tracy Frostick, MSW
• Phelan Wolf Frush, CAA
• Amanda Grey Fry, MSW
• Lacy Fry
• Levi Fry, MD
• Lori Lynne Fry, BCBA

• Physical Rehabilitation Occupational Therapist in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Physical Rehabilitation Occupational Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2023; 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.