JUSTIN LEE FREDRICKSON MOT
NPI 1851769061
Occupational Therapist in Mankato, MN

Active since September 03, 2015Accepts Medicare Assignment
1431 PREMIER DR, MANKATO, MN 56001(507) 386-6600 Get Directions Write a Review

NPPES record last updated: October 28, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Justin Lee Fredrickson Mot NPPES

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

JUSTIN LEE FREDRICKSON MOT (NPI 1851769061) is an individual occupational therapist in Mankato, Minnesota, licensed in Minnesota (104732) and active in the NPI registry since September 2015. He maintains a secondary practice location in Hutchinson and is a graduate of University Of North Dakota School Of Medicine (2014).

NPPES Registry Identity

NPI1851769061
Entity TypeIndividualMale
Primary Taxonomy225X00000X
Provider Legal NameJUSTIN LEE FREDRICKSONCredential: MOT
Location Address1431 PREMIER DRMankato, MN 56001-6076
Mailing Address1431 Premier DrMankato, MN 56001-6076
Sole ProprietorYes
Medical School CMSUniversity Of North Dakota School Of MedicineGraduated 2014
Enumeration DateSeptember 3, 2015
Last NPPES UpdateOctober 28, 2025
NPPES CertifiedOctober 28, 2025
NPI 1851769061 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOccupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225X00000X
License Licensed in MN · 104732
Definition
An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapists address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life.
1431 PREMIER DR, Mankato, MN 56001

Secondary Practice Location 1

Location 11235 Roberts Rd SWHutchinson, MN 55350-2146 · Phone (320) 583-2228

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Justin Lee Fredrickson Mot is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5294220174
PECOS Enrollment IDI20251218000749

Other Providers at the Same Location NPPES 20

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

Physician Assistant
1431 PREMIER DR
MANKATO, MN 56001
Physical Therapist
1431 PREMIER DR
MANKATO, MN 56001
Orthopaedic Surgery
1431 PREMIER DR
MANKATO, MN 56001
Specialist/Technologist (Athletic Trainer)
1431 PREMIER DR
MANKATO, MN 56001
Physical Therapist
1431 PREMIER DR
MANKATO, MN 56001
Physical Therapist
1431 PREMIER DR
MANKATO, MN 56001
Physical Therapist
1431 PREMIER DR
MANKATO, MN 56001
Specialist/Technologist (Athletic Trainer)
1431 PREMIER DR
MANKATO, MN 56001

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 Justin Fredrickson's NPI number?

The NPI number for Justin Fredrickson is 1851769061. It was assigned to this individual provider in the NPPES registry on September 3, 2015.

Where is Justin Fredrickson located?

Justin Fredrickson practices at 1431 Premier Dr, Mankato, MN 56001. The listed phone number is (507) 386-6600.

What is Justin Fredrickson's specialty?

The primary specialty registered for this NPI is Occupational Therapist with taxonomy code 225X00000X.

Is Justin Fredrickson enrolled in Medicare?

Yes. Justin Fredrickson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Justin Fredrickson was last updated on October 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.