Active NPI
Andrea Mae Freymiller, MS, ATC, LAT, CSCS
- Athletic Trainer
- Norman, OK
National Provider Identifier
1609221415
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 889
- Practice address
- 3400 W Tecumseh Rd
Norman, OK 73072-1810 - Phone
- (405) 360-6764
- NPI assigned
- Apr 29, 2016
- 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 |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 889 | OK | Primary |
Addresses
Primary practice location
3400 W Tecumseh Rd
Norman, OK 73072-1810
Mailing address
12244 SW 13TH St
Yukon, OK 73099-7008
Phone (405) 206-4642
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 889 | OK | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1461888000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1461888000000",
"number": "1609221415",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12244 SW 13TH ST",
"city": "YUKON",
"state": "OK",
"postal_code": "730997008",
"telephone_number": "405-206-4642"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3400 W TECUMSEH RD",
"city": "NORMAN",
"state": "OK",
"postal_code": "730721810",
"telephone_number": "405-360-6764"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FREYMILLER",
"first_name": "ANDREA",
"middle_name": "MAE",
"credential": "MS, ATC, LAT, CSCS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-04-29",
"last_updated": "2016-04-29",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "OK",
"license": "889",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Norman, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.