Cory M Frederick, OTR CLT is a
Occupational Therapist based in Hillsboro, Wisconsin. Cory M Frederick is licensed to practice in Wisconsin (license number 1957026) and his current practice location is
400 Water Ave, Hillsboro, Wisconsin. He can be reached at his office (for appointments etc.) via phone at
(608) 489-8260.
NPI number for Cory M Frederick is 1306926183 and his current mailing address is E14305 Cty Rd P, Lafarge, Wisconsin. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1306926183.
Healthcare Provider's Profile
| Full Name | Cory M Frederick |
|---|
| Gender | Male |
|---|
| Speciality | Occupational Therapist |
|---|
| Location | 400 Water Ave, Hillsboro, Wisconsin |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1306926183
- Provider Enumeration Date: 10/16/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Cory M Frederick such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1306926183 | NPI | - | NPPES |
| 40901900 | Medicaid | WI | |
| 985300 | Other | | NBCOT |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225X00000X | Occupational Therapist | 1957026 (Wisconsin) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Cory M Frederick is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Cory M Frederick, OTR CLT
E14305 Cty Rd P,
Lafarge, WI 54639
Ph: (608) 489-3353 | Cory M Frederick, OTR CLT
400 Water Ave,
Hillsboro, WI 54634
Ph: (608) 489-8260 |
Reviews and Comments