JEAN L FREDMUND (NPI# 1831321736) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831321736 |
| Entity Type | Individual |
| Full Name | JEAN L FREDMUND |
| Credential | PT |
| Practice Address |
53 Gravel St Wilkes Barre PA 18705-3738 |
| Mailing Address |
75 Loop Rd Mountain Top PA 18707-1778 |
| Practice Telephone | 5703715600 |
| Mailing Telephone | 5704740865 |
| Enumeration Date | 2009-08-12 |
| Last Update Date | 2009-08-12 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251P0200X |
Physical Therapist Specialization: Pediatrics |
PT006742L | PA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
53 GRAVEL ST |
| City | WILKES BARRE |
| State | PA |
| Zip Code | 18705-3738 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528266020 | Teressa Ann Polinsky | Pharmacist | 53 Gravel St, Wilkes Barre, PA 18705-3738 | 2007-07-05 |
| 1184014342 | Lisa Midwinter | Speech-Language Pathologist | 53 Gravel St, Wilkes Barre, PA 18705-3738 | 2015-01-27 |
| 1275923435 | Susan Balint | Speech-Language Pathologist | 53 Gravel St, Wilkes Barre, PA 18705-3738 | 2015-01-27 |
| 1194072819 | Leesa Jane Masteller | Physical Therapist | 53 Gravel St, Wilkes Barre, PA 18705-3738 | 2012-08-13 |
| 1013273341 | Amy Anne Hummel | Occupational Therapist | 53 Gravel St, Wilkes Barre, PA 18705-3738 | 2012-04-11 |
| 1144531286 | Noelle Marie Benderavich | Occupational Therapist | 53 Gravel St, Wilkes Barre, PA 18705-3738 | 2010-06-23 |
| 1336474808 | Erin Poperowitz | Speech-Language Pathologist | 53 Gravel St, Wilkes Barre, PA 18705-3738 | 2009-10-16 |
| 1275868853 | Margaret T Fritz | Speech-Language Pathologist | 53 Gravel St, Wilkes Barre, PA 18705-3738 | 2009-10-15 |
| 1992938732 | Julie Miller | Speech-Language Pathologist | 53 Gravel St, Wilkes Barre, PA 18705-3738 | 2009-08-27 |
| 1356573224 | Mary Beth Bridget Spellman | Occupational Therapist | 53 Gravel St, Wilkes Barre, PA 18705-3738 | 2009-08-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316446206 | Mark L Rowan | Physical Therapist | 667 North River Street, Plains, PA 18705 | 2018-02-06 |
| 1588105589 | Maxim Healthcare Services Inc | Home Health | 672 North River St., Suite 102, Plains, PA 18705 | 2017-03-10 |
| 1538572383 | Kevin Loftus | Pharmacist | 20 South River St, Plains, PA 18705 | 2014-06-10 |
| 1831345487 | Terry Lynn Elias | Speech-Language Pathologist | 1014 Morgan Drive, Wilkes-barre, PA 18705 | 2008-08-14 |
| 1578699963 | Renee Elizabeth Edwards | Dentist | 163 S River Street, Plains, PA 18705 | 2007-02-27 |
| 1669568770 | Wyoming Valley Alcohol and Drug Services Inc | Counselor | 437 North Main St., Wilkes Barre, PA 18705 | 2006-10-05 |
| 1912090689 | Emmanuel Egipto Jacob | Acupuncturist | 39 South River Street, Plains, PA 18705 | 2006-10-02 |
| 1336159508 | Albert David Janerich | Physical Medicine & Rehabilitation | 667 S River St, Plains, PA 18705 | 2006-08-09 |
| 1174543094 | Northeast Pedorthic Services Inc | Durable Medical Equipment & Medical Supplies | 234 S River Rd, Plains, PA 18705 | 2006-07-21 |
| 1235118225 | Riverview Orthotics Prosthetics Inc | Prosthetic/Orthotic Supplier | 220 South River St, Suite 204, Plains, PA 18705 | 2006-01-10 |
| Find all providers in zip 18705 | ||||
| Taxonomy Code | 2251P0200X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003048935 | Annpat Sullivan | Physical Therapist | 53 Gravel St, Wilkes Barre, PA 18705-3738 | 2009-08-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164038105 | Kaitlyn Elizabeth Stoltz | Physical Therapist | 3 Jason Ct, Avondale, PA 19311-9734 | 2020-09-16 |
| 1902419146 | Jason Anthony Chippich | Physical Therapist | 171 Sheldon Ave, Pittsburgh, PA 15220-2638 | 2020-08-27 |
| 1023634128 | Growing Roots Pediatric Therapy | Physical Therapist | 169 Scott Ln, Venetia, PA 15367-1115 | 2020-06-24 |
| 1366092413 | Francine Seloi Mathis | Physical Therapist | 7064 Veronica Rd, Upper Darby, PA 19082-4111 | 2019-09-19 |
| 1588120083 | Lauren Ashley Mccullion | Physical Therapist | 2045 E Lizard Creek Rd, Lehighton, PA 18235-3720 | 2019-02-20 |
| 1629585104 | Kristine Daniels | Physical Therapist | 2271 Mcarthur Dr, Hatfield, PA 19440-3561 | 2018-01-05 |
| 1518476019 | Creative Solutions Therapy LLC | Physical Therapist | 2409 Beechtree Rd, Falls Creek, PA 15840-3807 | 2017-09-27 |
| 1255850095 | Paige Mary Fuller | Physical Therapist | 224 Rimmey Rd, Centre Hall, PA 16828-9217 | 2017-09-13 |
| 1780126961 | Alyssa Wennin | Physical Therapist | 1938 Bucktail Rd, Saint Marys, PA 15857-3224 | 2016-11-05 |
| 1811449960 | Cynthia Theresa Fehrle | Physical Therapist | 1113 Tremont Dr, Glenolden, PA 19036-1522 | 2016-10-25 |
| Find all providers with the same taxonomy | ||||
| City | WILKES BARRE |
| Zip Code | 18705 |
Please comment or provide details below to improve the information on JEAN L FREDMUND.
| 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.