Tierra Frederick, RBT

Primary specialty

Developmental TherapistTaxonomy code 222Q00000X

Practice address

7226 Cardinal Cove Cir Apt 7226
Sanford, FL 32771-6334

Phone

(954) 806-2591

NPI assigned

Dec 15, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1607990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692057600000",
    "number": "1750977690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7226 CARDINAL COVE CIR # 7226",
            "city": "SANFORD",
            "state": "FL",
            "postal_code": "327716334",
            "telephone_number": "954-806-2591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7226 CARDINAL COVE CIR APT 7226",
            "city": "SANFORD",
            "state": "FL",
            "postal_code": "327716334",
            "telephone_number": "954-806-2591"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "745 Orienta Ave Ste 1011",
            "address_purpose": "LOCATION",
            "city": "Altamonte Spg",
            "state": "FL",
            "postal_code": "327015675",
            "country_code": "US",
            "telephone_number": "877-823-4283",
            "fax_number": "352-332-8589",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FREDERICK",
        "first_name": "TIERRA",
        "credential": "RBT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-15",
        "last_updated": "2023-08-15",
        "certification_date": "2023-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "222Q00000X",
            "taxonomy_group": "",
            "desc": "Developmental Therapist",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Four Seasons Alf Inc
• Bonnie Jean Francl, PT, DPT, LAT, ATC
• Marta Franco
• Chonte Nakisha Francois, MS, CCC-SLP
• Felix Scott Fraustro, NP
• Kyla Fredrickson, MD
• Rebecca Freeland, D.P.T.
• Michael John Freeman II, DMD
• Kathryn Friedle, OTR/L
• Renee S Fruhwirth, P.T

• Developmental Therapist in Sanford, FL
• Providers in Sanford, FL by specialty
• Developmental Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2023; 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.