Active NPIIndividual providerSole proprietor

Mr. Fred A Thiesen, COTA

Occupational Therapy Assistant in Califon, New Jersey

NPI Number1245359157
Practice location
47 Academy St, Califon, NJ 07830-4354
Fax
—
Last updated
July 8, 2007

Fred Andrew Thiesen is an Occupational Therapy Assistant based in Califon, NJ. Fred Andrew Thiesen practices in Califon, NJ and has the professional credentials of COTA. The NPI Number for Fred Andrew Thiesen is 1245359157 and holds a License No. 46ta09050700 (NJ). The current practice location address for Fred Andrew Thiesen is 47 Academy St, Califon, NJ 07830-4354 and can be reached out via phone at 908-832-1306.

Provider Profile Details

NPI Number
1245359157
Provider Name
Fred Andrew Thiesen
Credential
COTA
Provider Entity Type
Individual
Gender
Male
Address
47 Academy St, Califon, NJ 07830-4354
Phone Number
908-832-1306
Primary Taxonomy
Occupational Therapy Assistant · 224Z00000X
Sole Proprietor
Yes
Provider Enumeration Date
March 29, 2007
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
47 Academy St
Califon, NJ 07830-4354
Zip
07830-4354
Phone Number
908-832-1306
Califon, NJ 07830Get directions →

Provider Business Mailing Address Details

Address
47 Academy St
Califon, NJ 07830-4354
City
Califon
State
NJ
Zip
07830-4354
Phone Number
908-832-1306

License Information

License Number
46ta09050700
License State
NJ
Taxonomy
Occupational Therapy Assistant · 224Z00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mr. Fred A Thiesen, COTA?

The NPI number of Mr. Fred A Thiesen, COTA is 1245359157. It was assigned on March 29, 2007 and is currently active in the NPPES registry.

What is the specialty of Mr. Fred A Thiesen, COTA?

Mr. Fred A Thiesen, COTA is registered under the primary taxonomy Occupational Therapy Assistant (code 224Z00000X), licensed in NJ under license number 46ta09050700.

Where does Mr. Fred A Thiesen, COTA practice?

The practice location is 47 Academy St, Califon, NJ 07830-4354. The office can be reached at 908-832-1306 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1245359157 directly on the NPPES registry website.

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