SAGE MATTEA FRIEDT DC
NPI 1194531152
Chiropractor in Bloomington, IL

Active since December 05, 2024
2710 E LINCOLN ST STE A, BLOOMINGTON, IL 61704(309) 662-8418(309) 662-8197 Get Directions Write a Review

NPPES record last updated: December 5, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Sage Mattea Friedt Dc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SAGE MATTEA FRIEDT DC (NPI 1194531152) is an individual chiropractor in Bloomington, Illinois, licensed in Illinois (038014211) and active in the NPI registry since December 2024. She is a graduate of Palmer College Chiropractic - Davenport (2024).

NPPES Registry Identity

NPI1194531152
Entity TypeIndividualFemale
Primary Taxonomy111N00000X
Provider Legal NameSAGE MATTEA FRIEDTCredential: DC
Location Address2710 E LINCOLN ST STE ABloomington, IL 61704-6010
Mailing Address2710 E Lincoln St Ste ABloomington, IL 61704-6010 · (309) 662-8418 · Fax (309) 662-8197
Fax(309) 662-8197
Sole ProprietorNo
Medical School CMSPalmer College Chiropractic - DavenportGraduated 2024
Enumeration DateDecember 5, 2024
NPPES CertifiedDecember 5, 2024
NPI 1194531152 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License Licensed in IL · 038014211
Definition

A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

2710 E LINCOLN ST STE A, Bloomington, IL 61704

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Sage Mattea Friedt Dc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8224554076
PECOS Enrollment IDI20260402002373

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Chiropractor
2710 E LINCOLN ST STE A
BLOOMINGTON, IL 61704
Chiropractor
2710 E LINCOLN ST STE A
BLOOMINGTON, IL 61704
Chiropractor
2710 E LINCOLN ST STE A
BLOOMINGTON, IL 61704

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sage Friedt's NPI number?

The NPI number for Sage Friedt is 1194531152. It was assigned to this individual provider in the NPPES registry on December 5, 2024.

Where is Sage Friedt located?

Sage Friedt practices at 2710 E Lincoln St Ste A, Bloomington, IL 61704. The listed phone number is (309) 662-8418.

What is Sage Friedt's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Sage Friedt enrolled in Medicare?

Yes. Sage Friedt is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Sage Friedt was last updated on December 5, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.