Individual provider Active NPI

Valerie Ann Fridlund

  • Occupational Therapist
  • Hanover Park, IL
National Provider Identifier
1841816980
Registry record updated Jun 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
438478 Issued in IL
Practice address
7566 Sarson Way
Hanover Park, IL 60133-2748
Phone
(630) 935-6481
NPI assigned
Jun 24, 2020
Last updated
Jun 24, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 438478 IL Primary

Addresses

Primary practice location

7566 Sarson Way
Hanover Park, IL 60133-2748

Mailing address

7566 Sarson Way
Hanover Park, IL 60133-2748
Phone (630) 935-6481

Other practice location 1

7566 Sarson Way
Hanover Park, IL 60133-2748
Phone (630) 935-6481

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
438478ILMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1592956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592956800000",
    "number": "1841816980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7566 SARSON WAY",
            "city": "HANOVER PARK",
            "state": "IL",
            "postal_code": "601332748",
            "telephone_number": "630-935-6481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7566 SARSON WAY",
            "city": "HANOVER PARK",
            "state": "IL",
            "postal_code": "601332748",
            "telephone_number": "630-935-6481"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7566 Sarson Way",
            "address_purpose": "LOCATION",
            "city": "Hanover Park",
            "state": "IL",
            "postal_code": "601332748",
            "country_code": "US",
            "telephone_number": "630-935-6481",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FRIDLUND",
        "first_name": "VALERIE",
        "middle_name": "ANN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-24",
        "last_updated": "2020-06-24",
        "certification_date": "2020-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IL",
            "license": "438478",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hanover Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2020; 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.