LAURA FRAIDER PTA NPI 1437589355

NPI Information

  • NPI: 1437589355
  • Provider Name: LAURA FRAIDER, PTA
  • Classification: Assisted Living Facility - 310400000X
  • Entity Type: Individual
  • Address: 1040 DIXIE HWY
    CHICAGO HEIGHTS, IL
    ZIP 60411
  • Phone: (708) 300-6961

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NPI Details

Laura Fraider, PTA is an assisted living facility in Chicago Heights, IL. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. Laura Fraider, PTA NPI is 1437589355. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1040 DIXIE HWY
CHICAGO HEIGHTS, IL
ZIP 60411-623
Phone: (708) 300-6961
Fax: (708) 515-9723

The enumeration date for this NPI number is 11/13/2013 and was last updated on 11/13/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1225200000XPhysical Therapy AssistantNo
2251E00000XHome HealthNo
3261QM0850XClinic/CenterAdult Mental HealthNo
4314000000XSkilled Nursing FacilityNo
5310400000XAssisted Living FacilityYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1160000354OTHERILLINOISPTA LICENSURE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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