Individual provider Active NPI

Katelyn Audrey Frey

  • Pediatric Occupational Therapist
  • Philadelphia, PA
National Provider Identifier
1699411405
Registry record updated May 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
OC014841 Issued in PA
Practice address
2476 Jasper St
Philadelphia, PA 19125-1238
Phone
(570) 369-0328
NPI assigned
May 5, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 5, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational Therapist 225XP0200X OC014841 PA Primary

Addresses

Primary practice location

2476 Jasper St
Philadelphia, PA 19125-1238

Mailing address

2476 Jasper St
Philadelphia, PA 19125-1238
Phone (570) 369-0328

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kfrey@brighterdaysagency.com Direct Brighter Days Early Intervention Agency LLC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
OC014841PAMDPediatric Occupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1651708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651708800000",
    "number": "1699411405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2476 JASPER ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191251238",
            "telephone_number": "570-369-0328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2476 JASPER ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191251238",
            "telephone_number": "570-369-0328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREY",
        "first_name": "KATELYN",
        "middle_name": "AUDREY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-05",
        "last_updated": "2022-05-05",
        "certification_date": "2022-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "PA",
            "license": "OC014841",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kfrey@brighterdaysagency.com",
            "affiliation": "Y",
            "endpointDescription": "work email",
            "affiliationName": "Brighter Days Early Intervention Agency LLC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "work email",
            "address_1": "16 S State St",
            "address_2": "3rd Floor",
            "city": "Newtown",
            "state": "PA",
            "country_code": "US",
            "postal_code": "189401963",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2022; 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.