Active NPI
Jason Freed, OTR/L
- Skilled Nursing Facility
- Shoreline, WA
National Provider Identifier
1770060568
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Practice address
- 1250 NE 145TH St.
Shoreline, WA 98155 - Phone
- (206) 365-0568
- NPI assigned
- Jul 24, 2018
- Last updated
- Jul 24, 2018
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | WA | Primary | |
| Occupational Therapist | 225X00000X | WA |
Addresses
Primary practice location
1250 NE 145TH St.
Shoreline, WA 98155
Mailing address
1250 NE 145TH St.
Shoreline, WA 98155
Phone (206) 365-0568
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1006722 | Medicaid | WA |
Other names 1
- Jason Fried
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1532390400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1532390400000",
"number": "1770060568",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1250 NE 145TH ST.",
"city": "SHORELINE",
"state": "WA",
"postal_code": "98155",
"telephone_number": "206-365-0568"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1250 NE 145TH ST.",
"city": "SHORELINE",
"state": "WA",
"postal_code": "98155",
"telephone_number": "206-365-0568"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FREED",
"first_name": "JASON",
"credential": "OTR/L",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-07-24",
"last_updated": "2018-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "WA",
"license": null,
"primary": true
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "WA",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1006722",
"state": "WA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "JASON",
"last_name": "FRIED",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Shoreline, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.