Lori A Fredericks, PT
Physical Therapist in Vadnais Heights, MN. Individual provider (NPI-1).
NPI number1457701286
StatusActive
Last updated in NPPESJul 21, 2022
Details
- NPI
- 1457701286
- Entity type
- Individual (NPI-1)
- Name
- Lori A Fredericks
- Credential
- PT
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 13, 2016
- Last updated
- Jul 21, 2022
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | 4907 | MN | Yes |
Practice location
3580 Arcade StVadnais Heights, MN 55127-7135
Phone 651-968-5201
Mailing address
710 Commerce Dr Ste 200Woodbury, MN 55125-4925
Phone 651-968-5201 · Fax 651-968-5904
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 50 Physical Therapist providers in Vadnais Heights · All 341 providers in Vadnais Heights
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