Scott Fredricks, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OTR996 Issued in AR

Practice address

1310 Sidney St
Batesville, AR 72501-7628

Phone

(870) 612-7200

Fax

(870) 612-7203

NPI assigned

Oct 28, 2005

Last updated

Sep 7, 2011By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in AR

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Batesville Therapy Clinic, IncGroup PAC ID 8921086125, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Batesville Therapy Clinic, Inc

  dba Newport Physical Therapy and sports Medicine

  • Occupational Therapist
  • Batesville, AR
  • NPI 1194716258
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1130457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1315353600000",
    "number": "1649261702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1310 SIDNEY ST",
            "city": "BATESVILLE",
            "state": "AR",
            "postal_code": "725017628",
            "telephone_number": "870-612-7200",
            "fax_number": "870-612-7203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1310 SIDNEY ST",
            "city": "BATESVILLE",
            "state": "AR",
            "postal_code": "725017628",
            "telephone_number": "870-612-7200",
            "fax_number": "870-612-7203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREDRICKS",
        "first_name": "SCOTT",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-28",
        "last_updated": "2011-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "AR",
            "license": "OTR996",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "130412721",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARKANSAS BCBS",
            "identifier": "5W737",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brandee M Fowler, MS, RD, LD
• Joni Fraley
• Deanna Marrie Franks
• Tiequita Frazier, QBHP
• Melissa Frederick
• Freds Stores of Tennessee Inc (Freds Pharmacy 1191)
• Kearsten Freeman, MCD, CF-SLP
• Hillary Rae French, DO
• Cassondra Frey
• Sarah Frisbee

• Occupational Therapist in Batesville, AR
• Providers in Batesville, AR by specialty
• Occupational Therapist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2011; 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.