Cory M Frederick, OTR CLT - Occupational Therapist in Hillsboro, WI

Cory M Frederick, OTR CLT is a Occupational Therapist based in Hillsboro, Wisconsin. Cory M Frederick is licensed to practice in Wisconsin (license number 1957026) and his current practice location is 400 Water Ave, Hillsboro, Wisconsin. He can be reached at his office (for appointments etc.) via phone at (608) 489-8260.

NPI number for Cory M Frederick is 1306926183 and his current mailing address is E14305 Cty Rd P, Lafarge, Wisconsin. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1306926183.

Contact Information

Cory M Frederick, OTR CLT
400 Water Ave,
Hillsboro, WI 54634
(608) 489-8260
(608) 489-8193



Healthcare Provider's Profile

Full NameCory M Frederick
GenderMale
SpecialityOccupational Therapist
Location400 Water Ave, Hillsboro, Wisconsin
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1306926183
  • Provider Enumeration Date: 10/16/2006
  • Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Cory M Frederick such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1306926183NPI-NPPES
40901900MedicaidWI
985300OtherNBCOT

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225X00000XOccupational Therapist 1957026 (Wisconsin)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Cory M Frederick is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Cory M Frederick, OTR CLT
E14305 Cty Rd P,
Lafarge, WI 54639

Ph: (608) 489-3353
Cory M Frederick, OTR CLT
400 Water Ave,
Hillsboro, WI 54634

Ph: (608) 489-8260

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› Verified 6 days ago


Occupational Therapist in Hillsboro, WI

Thomas James Moodie, OTR
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 400 Water Ave, Hillsboro, WI 54634
Phone: 608-489-8000    

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