Individual provider Active NPI

Laura A Froese, PT

  • Physical Therapist
  • Edmond, OK
National Provider Identifier
1629087119
Registry record updated Feb 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT 3921 Issued in OK
Practice address
1714 S Kelly Ave
Edmond, OK 73013-3624
Phone
(405) 285-8845
Fax
(405) 285-8848
NPI assigned
Aug 5, 2006
Last updated
Feb 21, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 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 PT 3921 OK Primary

Addresses

Primary practice location

1714 S Kelly Ave
Edmond, OK 73013-3624

Mailing address

700 NW 7TH St
Oklahoma City, OK 73102-1212
Phone (405) 609-3658

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061219000284 OK Practitioner - Physical Therapist in Private Practice 2163421231 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
University of Oklahoma College of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
H2 Health Oklahoma Outpatient Clinics LLCGroup PAC ID 3072562412, 44 clinicians

Practice addresses (Care Compare)

1714 S Kelly Ave
Nvoc 8
Edmond, OK 73013-3624
Phone (405) 285-8845

8355 US Hwy 277
Suite 7
Elgin, OK 73538-2207
Phone (580) 492-1112

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT 3921OKMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
H2 Health Oklahoma Outpatient Clinics LLC Physical Therapist CurrentSince Feb 27, 2013 Accepting new patients
Valir Outpatient Clinics LLC Physical Therapist PastSince Jun 18, 2023 Accepting new patients
Valir Outpatient Clinic #8 LLC Physical Therapist Past Accepting new patients

Locations

1425 S Santa Fe Ave
Ste E
Edmond, OK 73003
Phone (405) 285-8845

8355 US Highway 277
#7
Elgin, OK 73538
Phone (580) 492-1112

700 NW 7th St
Oklahoma City, OK 73102
Phone (405) 609-3600

700 NW 7th St
Ste 304
Oklahoma City, OK 73102

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582243200000",
    "number": "1629087119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 NW 7TH ST",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731021212",
            "telephone_number": "405-609-3658",
            "fax_number": "800-506-3795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1714 S KELLY AVE",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730133624",
            "telephone_number": "405-285-8845",
            "fax_number": "405-285-8848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FROESE",
        "first_name": "LAURA",
        "middle_name": "A",
        "name_prefix": "Ms.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-05",
        "last_updated": "2020-02-21",
        "certification_date": "2020-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OK",
            "license": "PT 3921",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edmond, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.