Kala M Frederiksen, PT | |
1905 Ingersoll Ave Ste 104, Des Moines, IA 50309-3305 | |
(515) 369-2306 | |
(515) 369-2307 |
Full Name | Kala M Frederiksen |
---|---|
Gender | Female |
Speciality | Physical Therapy |
Experience | 13 Years |
Location | 1905 Ingersoll Ave Ste 104, Des Moines, Iowa |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1053606657 | NPI | - | NPPES |
1053606657 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 11819-24 (Wisconsin) | Secondary |
225100000X | Physical Therapist | 077175 (Iowa) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Rock Valley Physical Therapy Center | 9638087877 | 191 |
Provider Name | Rock Valley Physical Therapy Center |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1245373166 PECOS PAC ID: 9638087877 Enrollment ID: O20080513000596 |
Mailing Address | Practice Location Address |
---|---|
Kala M Frederiksen, PT 850 43rd Ave Ste 100, Moline, IL 61265-8401 Ph: (309) 743-2070 | Kala M Frederiksen, PT 1905 Ingersoll Ave Ste 104, Des Moines, IA 50309-3305 Ph: (515) 369-2306 |
Tatem Alexandra Edwards, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2619 Sw 9th St Ste 103, Des Moines, IA 50315 Phone: 515-953-6911 Fax: 515-953-6913 | |
Melissa Hartl, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4725 Merle Hay Rd, Suite 107, Des Moines, IA 50322 Phone: 515-331-3190 Fax: 515-331-3191 | |
Caitlin Rogers, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2100 Dixon St Ste E, Des Moines, IA 50316 Phone: 630-853-7248 | |
Britta Utterback, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1301 Penn Ave Ste 308, Des Moines, IA 50316 Phone: 515-263-5143 | |
Megan Kushner, PT, ATC Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 450 Laurel St, Des Moines, IA 50314 Phone: 515-323-6485 | |
Katie L Rasmussen, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1801 Hickman Rd, Des Moines, IA 50314 Phone: 515-282-5621 | |
Moriah Delp, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 4725 Merle Hay Rd, Suite 107, Des Moines, IA 50322 Phone: 515-331-3190 Fax: 515-331-3191 |