Active NPI
Laura Christina Friese, OTR/L
- Physical Rehabilitation Occupational Therapist
- El Dorado Hills, CA
National Provider Identifier
1922719293
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Rehabilitation Occupational Therapist
- License
- 17669
- Practice address
- 4987 Golden Foothill Pkwy Ste 100
El Dorado Hills, CA 95762-9364 - Phone
- (241) 191-6365
- NPI assigned
- Dec 7, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Occupational Therapist | 225XP0200X | 17669 | CA | |
| Physical Rehabilitation Occupational Therapist | 225XP0019X | 17669 | CA | Primary |
Addresses
Primary practice location
4987 Golden Foothill Pkwy Ste 100
El Dorado Hills, CA 95762-9364
Mailing address
3200 Shingle Springs Dr
Shingle Springs, CA 95682-9513
Phone (530) 748-7955
Other names 1
- Laura Christina Dumas
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1670371200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1670371200000",
"number": "1922719293",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3200 SHINGLE SPRINGS DR",
"city": "SHINGLE SPRINGS",
"state": "CA",
"postal_code": "956829513",
"telephone_number": "530-748-7955"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4987 GOLDEN FOOTHILL PKWY STE 100",
"city": "EL DORADO HILLS",
"state": "CA",
"postal_code": "957629364",
"telephone_number": "241-191-6365"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRIESE",
"first_name": "LAURA",
"middle_name": "CHRISTINA",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-12-07",
"last_updated": "2022-12-07",
"certification_date": "2022-12-07",
"status": "A"
},
"taxonomies": [
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "CA",
"license": "17669",
"primary": false
},
{
"code": "225XP0019X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Physical Rehabilitation",
"state": "CA",
"license": "17669",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LAURA",
"last_name": "DUMAS",
"middle_name": "CHRISTINA",
"credential": "OTR/L",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in El Dorado Hills, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.