Perry Fricke, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

2004026415 Issued in MO

Practice address

15875 New Halls Ferry Rd
Florissant, MO 63031-1225

Phone

(314) 953-5400

NPI assigned

Feb 11, 2006

Last updated

Jul 13, 2026By 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 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1139616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1801869581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4740 DRDA LN",
            "city": "EDWARDSVILLE",
            "state": "IL",
            "postal_code": "620255802",
            "telephone_number": "618-659-1946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15875 NEW HALLS FERRY RD",
            "city": "FLORISSANT",
            "state": "MO",
            "postal_code": "630311225",
            "telephone_number": "314-953-5400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRICKE",
        "first_name": "PERRY",
        "name_prefix": "Mr.",
        "credential": "ATC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-11",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "MO",
            "license": "2004026415",
            "primary": true
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "IL",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacob E Freilich, DMD, MS
• Fresenius Vascular Care St Louis ASC LLC (Azura Surgery Center St. Louis)
• Fresenius Vascular Care St Louis LLC (Azura Vascular Care St. Louis)
• Julia Freund, PA-C
• Lawrence Paul Frey, R.PH.
• Erin Elizabeth Friederich
• Friends for Life Adult Day Care LLC
• David Frye, RPH
• FSC Investments, LLC (Florissant Surgery Center)
• Fulfilling Home Healthcare LLC

• Athletic Trainer in Florissant, MO
• Providers in Florissant, MO by specialty
• Athletic Trainer in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.