Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mrs. Benita Fredrick, PTA

Individual provider Specialist · NPI 1902813926

Mrs. Benita Fredrick, PTA is a Specialist in Freeport, New York. Licensed in New York. Registered with an NPI since 2006.

Licensed in
NY
In the registry since
2006
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

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Practice location Address checks out

49 Church St
Freeport, NY 11520-3830
Phone: (516) 623-6253
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 006435-1 (NY)

Record details

NPI number1902813926
Entity typeIndividual (Type 1)
GenderFemale
Credentials PTA
Sole proprietorNo
NPI enumeratedAugust 2, 2006
Last updated in NPPESJuly 8, 2007

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