Randi Lynn Frey

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

.2013000038 Issued in MO

Practice address

10600 Lewis and Clark Blvd
Saint Louis, MO 63136-6005

Phone

(314) 340-6389

NPI assigned

Sep 16, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

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": "1379289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1379289600000",
    "number": "1669808184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2348 KENNEDY LN",
            "city": "HIGHLAND",
            "state": "IL",
            "postal_code": "622493847",
            "telephone_number": "618-978-0927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10600 LEWIS AND CLARK BLVD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631366005",
            "telephone_number": "314-340-6389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREY",
        "first_name": "RANDI",
        "middle_name": "LYNN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-16",
        "last_updated": "2013-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "MO",
            "license": ".2013000038",
            "primary": true
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "IL",
            "license": "160.004820",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Edward Freund, D.D.S.
• Katherine Freund, RBT
• Ryan Freund, PHARM.D.
• Chris Lee Frey, MSW
• Rachel Nicole Frey, MD
• Sharon E Frey, MD
• Mary Katherine Freyaldenhoven
• Ronald Arthur Frick, CPO
• William Harry Frick, MD
• Rachel Marie Fricker, FNP

• Physical Therapy Assistant in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Physical Therapy Assistant in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2013; 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.