Jennifer Fredrick, COTA-L

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

057002411 Issued in IL

Practice address

2901 Finley Rd
Suite 102
Downers Grove, IL 60515-1041

Phone

(630) 495-6800

Fax

(630) 495-8200

NPI assigned

Nov 28, 2006

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

Practice roles

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

• Therapeutic Strategies, Inc

  dba The Communication Clubhouse

  • Counselor
  • Downers Grove, IL
  • NPI 1346316593

  Occupational Therapy Assistant

  NPD (past)

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1679649834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "297 GREEN MOUNTAIN DR",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604402568",
            "telephone_number": "630-972-0036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2901 FINLEY RD",
            "address_2": "SUITE 102",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605151041",
            "telephone_number": "630-495-6800",
            "fax_number": "630-495-8200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREDRICK",
        "first_name": "JENNIFER",
        "credential": "COTA-L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "IL",
            "license": "057002411",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samantha Nicole Frakes
• Kristina Lee Francia, LCPC
• Francis W. Summers, DDS Inc
• Michael Frauendorff, OTR/L
• Michelle Marie Frauendorff
• Gregory Michael Freebeck, DDS
• Mary Lou French, O.D.
• Angela R Frenette, PMHNP
• Sharon L Frigo Doyle, APNP
• Leslie Frondorf

• Occupational Therapy Assistant in Downers Grove, IL
• Providers in Downers Grove, IL by specialty
• Occupational Therapy Assistant in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.