Jennifer Fried, OTD, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

106333 Issued in MN

Practice address

1394 Jackson St Ste 201
Saint Paul, MN 55117-4630

Phone

(651) 603-8774

NPI assigned

Sep 11, 2020

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

Enrolled in MN

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jenny@prc.kareodirect.com

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.

• Key Corporation

  • Occupational Therapist
  • Saint Paul, MN
  • NPI 1639239445
  Medicare reassignment NPD

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

{
    "created_epoch": "1599782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616716800000",
    "number": "1699380196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1394 JACKSON ST STE 201",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551174630",
            "telephone_number": "651-603-8774",
            "fax_number": "651-603-9009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1394 JACKSON ST STE 201",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551174630",
            "telephone_number": "651-603-8774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRIED",
        "first_name": "JENNIFER",
        "credential": "OTD, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-11",
        "last_updated": "2021-03-26",
        "certification_date": "2021-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MN",
            "license": "106333",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brandon Frick, PA-C
• Elise Ann Frickey, PHD, LP
• Todd Frickey
• Edward S Frickson, L.P.
• Jennifer Lynn Fricton, APRN, CNM, DNP
• Steven Gene Friedenberg, DVM
• Cassidy Friend, DPT
• Payton Victoria Friend, OTD, OTR/L
• Friendship Place
• Nathan M Frink, MD

• Occupational Therapist in Saint Paul, MN
• Providers in Saint Paul, MN by specialty
• Occupational Therapist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.