Individual provider Active NPI

Eric Paul Fridline, DPT

  • Physical Therapist
  • Midland, MI
National Provider Identifier
1881107522
Registry record updated Nov 15, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5501018488 Issued in MI
Practice address
4710 Eastman Ave
Midland, MI 48640-2606
Phone
(989) 341-1070
Fax
(989) 341-1072
NPI assigned
Nov 15, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 5501018488 MI Primary

Addresses

Primary practice location

4710 Eastman Ave
Midland, MI 48640-2606

Mailing address

4710 Eastman Ave
Midland, MI 48640-2606
Phone (989) 341-1070

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171204003089 MI Practitioner - Physical Therapist in Private Practice 2961769682 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
University of Michigan Medical School, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Midland ChiropracticGroup PAC ID 9638392020, 12 clinicians

Practice addresses (Care Compare)

4710 Eastman Ave
Midland Sports Rehab
Midland, MI 48640-2606
Phone (989) 341-1070

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1510704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1510704000000",
    "number": "1881107522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4710 EASTMAN AVE",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486402606",
            "telephone_number": "989-341-1070",
            "fax_number": "989-341-1072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4710 EASTMAN AVE",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486402606",
            "telephone_number": "989-341-1070",
            "fax_number": "989-341-1072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRIDLINE",
        "first_name": "ERIC",
        "middle_name": "PAUL",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-11-15",
        "last_updated": "2017-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501018488",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Midland, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.