Peter Friesen, DPT

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

Practice address

4005 Village Park Dr
Knightdale, NC 27545-7044

Phone

(919) 217-0113

Fax

(919) 217-0059

NPI assigned

Nov 29, 2017

Last updated

Jan 2, 2019By the provider in NPPES

Sex

Male

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)

Enrolled

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

{
    "created_epoch": "1511913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546387200000",
    "number": "1720592686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4005 VILLAGE PARK DR",
            "city": "KNIGHTDALE",
            "state": "NC",
            "postal_code": "275457044",
            "telephone_number": "919-217-0113",
            "fax_number": "919-217-0059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4005 VILLAGE PARK DR",
            "city": "KNIGHTDALE",
            "state": "NC",
            "postal_code": "275457044",
            "telephone_number": "919-217-0113",
            "fax_number": "919-217-0059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRIESEN",
        "first_name": "PETER",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-11-29",
        "last_updated": "2019-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tomesha Chimere' Flow
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• Jessica Free, MS CCC-SLP
• Ariqua Furse
• Ga HC Reit II Knightdale Alf TRS Sub, LLC (TerraBella Knightdale)
• Gaben (Knightdale Pharmacy)
• Gaben (Knightdale Pharmacy)
• Nicole Galante

• Orthopedic Physical Therapist in Knightdale, NC
• Providers in Knightdale, NC by specialty
• Orthopedic Physical Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2019; 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.