Individual provider Active NPI

Connor James Frerichs, DPT

  • Physical Therapist
  • Redlands, CA
National Provider Identifier
1689303943
Registry record updated Jan 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
245 Terracina Blvd Ste 105
Redlands, CA 92373-4879
Phone
(909) 335-4102
NPI assigned
Jun 9, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2026

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 Primary

Addresses

Primary practice location

245 Terracina Blvd Ste 105
Redlands, CA 92373-4879

Mailing address

PO Box 35380
Las Vegas, NV 89133-5380

Other identifiers 1

IdentifierTypeStateIssuer
440AF1605OtherIALICENSE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230919002323 CA Practitioner - Physical Therapist in Private Practice 9133592843 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Beaver Medical Group P CGroup PAC ID 0547164295, 251 clinicians

Practice addresses (Care Compare)

245 Terracina Blvd
Suite 105
Redlands, CA 92373-4879
Phone (909) 792-9737

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Beaver Medical Group P C Physical Therapist CurrentSince May 29, 2025 Accepting new patients
Cassidy Medical Group Inc. Current Accepting new patients
Centers for Family Medicine GP Current Accepting new patients
Usc Care Medical Group, Inc CurrentSince Aug 7, 2023 Accepting new patients
Beaver Medical Group P C CurrentSince May 29, 2025 Accepting new patients
Evolution Physical Therapy, Inc Physical Therapist CurrentSince Jan 24, 2024 Accepting new patients
Usc Care Medical Group, Inc CurrentSince Aug 7, 2023 Accepting new patients
Next Phase Medical PC PastSince Sep 28, 2025 Accepting new patients

Locations

201 N Robertson Blvd
Ste 101
Beverly Hills, CA 90211
Phone (424) 303-7647

1520 San Pablo St
Los Angeles, CA 90033
Phone (323) 442-5849

131 N La Brea Ave
Los Angeles, CA 90036
Phone (315) 562-1650

1640 Marengo St
Ste 102
Los Angeles, CA 90033
Phone (323) 224-7070

11825 Major St
Ste 107
Los Angeles, CA 90230
Phone (310) 915-6100

1640 Marengo St
Los Angeles, CA 90033
Phone (323) 223-4091

322 Culver Blvd
Playa del Rey, CA 90293
Phone (310) 461-8712

2 W Fern Ave
Redlands, CA 92373
Phone (909) 335-4137

2 W Fern Ave
#1112
Redlands, CA 92373

245 Terracina Blvd
Ste 105
Redlands, CA 92373
Phone (909) 335-4102

145 Thunder Dr
Vista, CA 92083
Phone (760) 630-5487

Interoperability endpoints

  • Direct secure messaging: connor.frerichs.d1.p1@direct.udel.nextgenshare.com

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1654732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768780800000",
    "number": "1689303943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 35380",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891335380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "245 TERRACINA BLVD STE 105",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923734879",
            "telephone_number": "909-335-4102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRERICHS",
        "first_name": "CONNOR",
        "middle_name": "JAMES",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-06-09",
        "last_updated": "2026-01-19",
        "certification_date": "2026-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "440AF1605",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Redlands, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2026; 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.