Mindy Ann Frederick, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2009029858 Issued in MO

Practice address

851 NW 45TH St
Kansas City, MO 64116-4628

Phone

(816) 718-2929

NPI assigned

Mar 21, 2013

Sex

Female

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

State licenses

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

{
    "created_epoch": "1363824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1363824000000",
    "number": "1801138441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9603 E 79TH TER",
            "city": "RAYTOWN",
            "state": "MO",
            "postal_code": "641381913",
            "telephone_number": "816-718-2929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "851 NW 45TH ST",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641164628",
            "telephone_number": "816-718-2929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREDERICK",
        "first_name": "MINDY",
        "middle_name": "ANN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-21",
        "last_updated": "2013-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "2009029858",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• La'Nesha N Frazier, DPT
• Terra Nicole Frazier, DO
• Kimberly Frederich
• Frederick N. Shuler, M.D.,P.C.
• Amy Elizabeth Frederick
• Jonelle Frederico, LPTA
• Deborah Frederiksen, LPC
• Carolyn Marie Fredrick, LPC
• Charles James Fredricks, D.C.
• Dann J Fredrickson, MD

• Physical Therapist in Kansas City, MO
• Providers in Kansas City, MO by specialty
• Physical Therapist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2013; 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.