DR. WILLIAM KRISTOFER FRIDLEY (NPI# 1053818005) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053818005 |
| Entity Type | Individual |
| Full Name | DR. WILLIAM KRISTOFER FRIDLEY |
| Credential | DC |
| Practice Address |
410 Pressler St Austin TX 78703-5100 |
| Mailing Address |
6800 Burnet Rd Ste 2 Austin TX 78757-2853 |
| Practice Telephone | 5122661000 |
| Practice Fax Number | 5122661000 |
| Mailing Telephone | 5122661000 |
| Mailing Fax Number | 5122661000 |
| Enumeration Date | 2018-04-06 |
| Last Update Date | 2018-04-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111NS0005X |
Chiropractor Specialization: Sports Physician |
13738 | TX | Chiropractic Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760456545 | William A Fridley | Internal Medicine | 8845 Six Pines Dr Fl 2, Shenandoah, TX 77380-2675 | 2006-02-16 |
| Street Address |
410 PRESSLER ST |
| City | AUSTIN |
| State | TX |
| Zip Code | 78703-5100 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538307764 | Kimberly Anne Davis | Chiropractor | 410 Pressler St, Austin, TX 78703-5100 | 2009-01-26 |
| 1396377719 | Verity Stow | Chiropractor | 410 Pressler St, Austin, TX 78703-5100 | 2020-02-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376158261 | Kelly Witte | Nurse Practitioner | 501 Hearn Street, Austin, TX 78703 | 2020-09-09 |
| 1053779207 | Bodhi Leaf, Pllc | Social Worker | 1300 West Lynn Drive, Suite 207, Austin, TX 78703 | 2016-02-03 |
| 1073904447 | Danielle Frommer | Behavioral Analyst | 311 Bowie St Apt 1903, Austin, TX 78703 | 2015-02-06 |
| 1437391711 | Brett Douglas Macadam | Radiology | 3112 Windsor Rd #517, Radiology Specialists of Central Texas, Austin, TX 78703 | 2009-04-01 |
| 1184878191 | Albright Medical Associates | Family Medicine | 800 W. 5th St, #201, Austin, TX 78703 | 2008-11-05 |
| 1063616662 | Anna C Bell | Pediatrics | 1912 N. 35th St., Austin, TX 78703 | 2007-06-14 |
| 1447472808 | Austin Wellness Institute | General Practice | 1501 W 5th Street, Suite 109, Austin, TX 78703 | 2007-05-03 |
| 1487871968 | Joni K Wallace | Dentist | 2414 Exposition Blvd, Suite B-105, Austin, TX 78703 | 2007-04-19 |
| 1073631339 | Tays General Dentistry Pa | Dentist | 3404 Kerbey Lane, Austin, TX 78703 | 2007-03-26 |
| 1083758270 | Amy Carlisle Goodwin | Counselor | 2408 Enfield Rd, #213, Austin, TX 78703 | 2007-02-19 |
| Find all providers in zip 78703 | ||||
| Taxonomy Code | 111NS0005X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| Specialization | Sports Physician |
| A sports chiropractor is uniquely trained to provide care and treatment of injuries or illness resulting from sports and physical fitness activities. Doctors of Chiropractic with the Diplomate American Chiropractic Board of Sports Physicians (DACBSP) or the Certified Chiropractic Sports Physician (CCSP), sport specialty certifications from the American Chiropractic Board of Sports Physicians, have advanced training in the assessment, management and rehabilitation of sports related injuries. Extremity care, rehabilitation and soft tissue procedures are common skills utilized by these doctors. The specialty training covers a broad spectrum from the pediatric athlete to professional and Olympic athletes, and everything in between, using a variety of techniques and modalities. |
| Notes: Source: American Chiropractic Board of Sports Physicians, 2009 [7/1/2009: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558994996 | Scott David Kimbell | Chiropractor | 3303 Northland Dr Ste 301, Austin, TX 78731-4956 | 2020-02-13 |
| 1013463678 | Lacroix Chiropractic LLC | Chiropractor | 425 Woodward St Ste 102, Austin, TX 78704-7231 | 2016-09-01 |
| 1538307764 | Kimberly Anne Davis | Chiropractor | 410 Pressler St, Austin, TX 78703-5100 | 2009-01-26 |
| 1982818647 | Performance Wellness Centers, LLC | Chiropractor | 6500 North Mopac Expressway Bld 3, Suite 3101, Austin, TX 78731 | 2007-05-10 |
| 1467518548 | Roy Curtis Mullins | Chiropractor | 8517 Cobblestone, 609 Castle Ridge Rd. Suite 330, Austin, TX 78735-7906 | 2006-12-31 |
| 1750458725 | Gary Dow | Chiropractor | 900 N Lamar Blvd, Austin, TX 78703-4947 | 2006-11-28 |
| 1952484826 | Michele K. Moore, D.c.,p.c. | Chiropractor | 8301 Shoal Creek Blvd, Austin, TX 78757-7525 | 2006-10-23 |
| 1205920774 | William Richard Mccormick | Chiropractor | 2612-a S. Lamar Blvd, Austin, TX 78704 | 2006-10-02 |
| 1558348797 | Diane Elizabeth Shigley | Chiropractor | 13552 N Hwy 183, Ste D, Austin, TX 78750-2272 | 2005-12-29 |
| 1053943506 | Gordon Tyler Begley | Chiropractor | 11614 Bee Caves Rd Ste 110, Austin, TX 78738-5551 | 2020-02-12 |
| Find all providers in AUSTIN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.