Cynthia Jo Freitag-Hagen, P.T.A.

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

A436 Issued in MN

Practice address

1601 Saint Francis Ave
Suite 200
Shakopee, MN 55379-3383

Phone

(952) 428-2018

NPI assigned

Oct 25, 2011

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1319500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1319500800000",
    "number": "1821374638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1220 VERNON DR",
            "city": "CARVER",
            "state": "MN",
            "postal_code": "553154535",
            "telephone_number": "952-479-7380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 SAINT FRANCIS AVE",
            "address_2": "SUITE 200",
            "city": "SHAKOPEE",
            "state": "MN",
            "postal_code": "553793383",
            "telephone_number": "952-428-2018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREITAG-HAGEN",
        "first_name": "CYNTHIA",
        "middle_name": "JO",
        "credential": "P.T.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-25",
        "last_updated": "2011-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "MN",
            "license": "A436",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Nathalie Freire
• Jessica Fresse
• Abraham Freybler, DDS
• Keith Wayne Fridel, PHD
• Jennifer M Friesen, CMT
• Jennifer L Frost, PA

• Physical Therapy Assistant in Shakopee, MN
• Providers in Shakopee, MN by specialty
• Physical Therapy Assistant in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2011; 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.