PAUL FREDERICK
NPI 1790881290
Clinic/Center - Physical Therapy in South Haven, MI

Active since September 15, 2006
02957 73RD ST, SOUTH HAVEN, MI 49090(269) 637-9099(269) 637-9224 Get Directions Write a Review

NPPES record last updated: March 20, 2008. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Paul Frederick NPPES

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

PAUL FREDERICK (NPI 1790881290) is an individual physical therapy provider in South Haven, Michigan, licensed in Michigan (M15501011004) and active in the NPI registry since September 2006.

NPPES Registry Identity

NPI1790881290
Entity TypeIndividualMale
Primary Taxonomy261QP2000X
Provider Legal NamePAUL FREDERICK
Location Address02957 73RD STSouth Haven, MI 49090-9364
Mailing Address02957 73rd StSouth Haven, MI 49090-9364 · (269) 637-9099 · Fax (269) 637-9224
Fax(269) 637-9224
Sole ProprietorYes
Enumeration DateSeptember 15, 2006
Last NPPES UpdateMarch 20, 2008
✔ NPI 1790881290 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Physical TherapyAmbulatory Health Care Facilities
Taxonomy Code261QP2000X
License✔ Licensed in MI · M15501011004
Definition
An entity, facility, or distinct part of a facility providing diagnostic and treatment services related to physical rehabilitation. Physical therapy is a dynamic profession with an established theoretical and scientific base and widespread clinical applications in the restoration, maintenance, and promotion of optimal physical function. Physical therapists and physical therapist assistants are licensed health care professionals who are experts in the movement system and help individuals maintain, restore, and improve movement, activity, and functioning, thereby enabling optimal performance and enhancing health, well-being, and quality of life. Their services prevent, minimize, or eliminate impairments of body functions and structures, activity limitations, and participation restrictions. Physical therapy is provided for individuals of all ages who have or may develop impairments, activity limitations, and participation restrictions related to (1) conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems or (2) the negative effects attributable to unique personal and environmental factors as they relate to human performance.
02957 73RD ST, South Haven, MI 49090

Other Identifiers 3

OtherOHO1023MI · Blue Cross Blue Shield
Medicaid4800853MI
Medicare PINOPO2050MI

Accepted Insurance

Other Providers at the Same Location NPPES

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

Clinic/Center (Physical Therapy)
02957 73RD ST
SOUTH HAVEN, MI 49090

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 Paul Frederick's NPI number?

The NPI number for Paul Frederick is 1790881290. It was assigned to this individual provider in the NPPES registry on September 15, 2006.

Where is Paul Frederick located?

Paul Frederick practices at 02957 73rd St, South Haven, MI 49090. The listed phone number is (269) 637-9099.

What is Paul Frederick's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Physical Therapy, with taxonomy code 261QP2000X.

What insurance does Paul Frederick accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan and Ambetter from Meridian list Paul Frederick as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Paul Frederick was last updated on March 20, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.