Connor Daniel Fried, DPT

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

PT-9035 Issued in ID

Practice address

3155 Channing Way Ste D
Idaho Falls, ID 83404-7875

Phone

(208) 973-4170

NPI assigned

Jan 17, 2024

Last updated

Jan 17, 2024By the provider in NPPES

Sex

Male

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

Enrolled in ID

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Pick PT Ammon LLCGroup PAC ID 3577911254, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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

• Pick PT Ammon LLC

  dba Pick PT

  • Physical Therapy Clinic/Center
  • Idaho Falls, ID
  • NPI 1831972561

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Rehabauthority, LLC

  • Multi-Specialty Clinic/Center
  • Grand Forks, ND
  • NPI 1730159690

  Physical Therapist

  NPD

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

{
    "created_epoch": "1705449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705449600000",
    "number": "1982465944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3040 S SOUTH FORK BLVD APT 5210",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834021341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3155 CHANNING WAY STE D",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834047875",
            "telephone_number": "208-973-4170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRIED",
        "first_name": "CONNOR",
        "middle_name": "DANIEL",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-01-17",
        "last_updated": "2024-01-17",
        "certification_date": "2024-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "ID",
            "license": "PT-9035",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Annalisa Freire, RDN
• Austin French, DDS
• Vanessa K French, PA-C
• Fresenius Medical Care Idaho Falls, LLC (Idaho Kidney Center Home Program)
• Fresenius Medical Care Snake River, LLC (Fresenius Kidney Care Snake River)
• Brenda M Fritz, MPT
• Yazmin J Frodin
• Caryl M Frugoli, LCSW LPN EAP
• Full of Life 5580
• Full Spectrum Psychology LLC

• Orthopedic Physical Therapist in Idaho Falls, ID
• Providers in Idaho Falls, ID by specialty
• Orthopedic Physical Therapist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2024; 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.