Active NPI
Stephanie L Freadrich, OT
- Occupational Therapist
- Golden Valley, MN
National Provider Identifier
1720177280
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 103077
- Practice address
- 4225 Golden Valley Rd
Golden Valley, MN 55422-4215 - Phone
- (763) 588-0661
- NPI assigned
- Oct 12, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 103077 | MN | Primary |
Addresses
Primary practice location
4225 Golden Valley Rd
Golden Valley, MN 55422-4215
Mailing address
4225 Golden Valley Rd
Golden Valley, MN 55422-4215
Phone (763) 588-0661
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4225 Golden Valley Rd
Golden Valley, MN 55422-4215
Phone (763) 588-0661
Merit-based Incentive Payment System (MIPS)
- Final score
- 92.39 of 100
- Quality
- 84.12
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 83.94
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 103077 | MN | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Minneapolis Clinic of Neurology, LTD | Current | Accepting new patients |
Locations
9645 Grove Cir N
Ste 100
Maple Grove, MN 55369
Phone (763) 302-4114
4225 Golden Valley Rd
Minneapolis, MN 55422
Phone (612) 588-0661
Organizations & group practices 1
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.
-
- Neurology Physician
- Golden Valley, MN
- NPI 1992739247
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160611200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1565308800000",
"number": "1720177280",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4225 GOLDEN VALLEY RD",
"city": "GOLDEN VALLEY",
"state": "MN",
"postal_code": "554224215",
"telephone_number": "763-588-0661"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4225 GOLDEN VALLEY RD",
"city": "GOLDEN VALLEY",
"state": "MN",
"postal_code": "554224215",
"telephone_number": "763-588-0661"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FREADRICH",
"first_name": "STEPHANIE",
"middle_name": "L",
"credential": "OT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-12",
"last_updated": "2019-08-09",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MN",
"license": "103077",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Golden Valley, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2019; 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.