CHRISTIE FREDERICKSEN (NPI# 1720423965) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720423965 |
| Entity Type | Individual |
| Full Name | CHRISTIE FREDERICKSEN |
| Practice Address |
1727 Ridgeview Dr Clarkston WA 99403-3073 |
| Mailing Address |
Po Box 576 Clarkston WA 99403-0576 |
| Practice Telephone | 5097801991 |
| Enumeration Date | 2013-05-01 |
| Last Update Date | 2013-05-01 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 225100000X | Physical Therapist | 15588 | MA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Y | 225100000X | Physical Therapist | PT 00008504 | WA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| N | 225100000X | Physical Therapist | PT-1614 | ID | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
1727 RIDGEVIEW DR |
| City | CLARKSTON |
| State | WA |
| Zip Code | 99403-3073 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093140386 | Donald Daryl Fredericksen | Physical Therapist | 1727 Ridgeview Dr, Clarkston, WA 99403-3073 | 2013-09-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306409669 | Jessica Elaine Krull | Specialist/Technologist | 807 3rd Street, Clarkston, WA 99403 | 2019-04-22 |
| 1477006526 | Idaho County Rideshare | Non-emergency Medical Transport (VAN) | 1470 Elm Street, Clarkston, WA 99403 | 2016-07-25 |
| 1679921340 | Jonathan Preszler | Counselor | 629 6th Street, Educational and Psychological Services, Clarkston, WA 99403 | 2016-06-02 |
| 1104204957 | Optimal Health and Wellness | Clinic/Center | 1267 Belmont Way, Clarkston, WA 99403 | 2015-05-13 |
| 1326456351 | David Nygren | Pharmacist | 506 5th St, Clarkston, WA 99403 | 2014-07-22 |
| 1255672895 | Alpowa Healthcare, Inc. | Hospice Care, Community Based | 1370 Bridge Street, Clarkston, WA 99403 | 2013-03-06 |
| 1265799407 | Elizabeth Bagnulo Dacey | Pathology | 1225 Highland Avenue, Clarkston, WA 99403 | 2012-04-12 |
| 1649586256 | Zeeshan Afzal | Internal Medicine | 1119 Highland Ave Ste 3, Clarkston, WA 99403 | 2010-08-20 |
| 1154657955 | Twin River Vision, Inc. | Optometrist | 306 5th Street, Clarkston, WA 99403 | 2009-10-29 |
| 1649429317 | Elizabeth Marie Allen-racicot | Specialist | 1013 Bridge Street, Clarkston, WA 99403 | 2008-09-17 |
| Find all providers in zip 99403 | ||||
| Taxonomy Code | 225100000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT’s assess joint motion, muscle strength and endurance, function of heart and lungs, and performance of activities required in daily living, among other responsibilities. Treatment includes therapeutic exercises, cardiovascular endurance training, and training in activities of daily living. (2) A physical therapist is a person qualified by an accredited program in physical therapy, licensed by the state, and practicing within the scope of that license. Physical therapists treat disease, injury, or loss of a bodily part by physical means, such as the application of light, heat, cold, water, electricity, massage and exercise. They develop treatment plans based upon each patient’s strengths, weaknesses, range of motion and ability to function. (3) A health professional who specializes in physical therapy- the health care field concerned primarily with the treatment of disorders with physical agents and methods, such as massage, manipulation, therapeutic exercises, cold, heat (including short-wave, microwave, and ultrasonic diathermy), hydrotherapy, electric stimulation and light to assist in rehabilitating patients and in restoring normal function after an illness or injury. |
| Notes: Source: (1) APTA Guidelines for Physical Therapy Claims Review, American Physical Therapy Association. (3) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225538747 | Briana Jean Wojciechowski | Physical Therapist | 5701 Bow Pointe Dr Ste 310, Clarkston, MI 48346-5402 | 2018-02-21 |
| 1093267106 | Lisa Rosen | Physical Therapist | 4289 Klais Dr, Clarkston, MI 48348-2369 | 2016-10-25 |
| 1578946679 | Athletico Ltd | Physical Therapist | 7083 Dixie Highway, Clarkston, MI 48346-2983 | 2015-07-07 |
| 1770875726 | Vip Fitness LLC | Physical Therapist | 5886 Dixie Hwy Ste 5, Clarkston, MI 48346-4502 | 2011-05-10 |
| 1023331907 | Wendyliza Edwards | Physical Therapist | 5020 Bordeaux Dr, Clarkston, MI 48348-4905 | 2010-03-08 |
| 1265693105 | Susan Elizabeth Tong | Physical Therapist | 5364 Pheasant Run Rd, Clarkston, MI 48346-3952 | 2008-06-23 |
| 1003089749 | Matthew Glenn | Physical Therapist | 5896 Dixie Hwy Ste B, Clarkston, MI 48346-4503 | 2008-04-02 |
| 1033395322 | Brooksie K Larson | Physical Therapist | 433 Elm St, Clarkston, WA 99403-2650 | 2008-01-16 |
| 1720209273 | Linda Carole Gualdoni | Physical Therapist | 7508 M.e. Cad Blvd., Suite A, Clarkston, MI 48348 | 2007-05-01 |
| 1679799704 | Scott Alan Burbary | Physical Therapist | 7508 M E Cad Blvd, Suite A, Clarkston, MI 48348-4281 | 2007-04-17 |
| Find all providers in CLARKSTON | ||||
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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.