Individual provider Active NPI

Laura Christina Friese, OTR/L

  • Physical Rehabilitation Occupational Therapist
  • El Dorado Hills, CA
National Provider Identifier
1922719293
Registry record updated Dec 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Rehabilitation Occupational TherapistTaxonomy code 225XP0019X
License
17669 Issued in CA
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

Updated by the provider on Dec 7, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

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.

Verify at the official NPI Registry.