Thea Renee Fredericksen
M.A., OTR/L | Occupational Therapist
1250 W Broadway Ave, Minneapolis
Minnesota, 55411-2533
612-668-0254 Maps & DirectionsThea Renee Fredericksen is a Minneapolis, Minnesota based therapist who is specialized in Occupational Therapy. Active license number of Thea Renee Fredericksen is 104473 for Occupational Therapy in Minnesota. Her current practice location is 1250 W Broadway Ave, Minneapolis. Patients can reach her at 612-668-0254. Thea Renee Fredericksen is M.A., OTR/L in Occupational Therapy and her NPI number (Unique professional ID assigned by NPPES) is 1598178204.
Thea Renee Fredericksen 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.
Complete Profile:
Thea Renee Fredericksen speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Thea Renee Fredericksen |
| Specialization: | Occupational Therapy |
| Gender: | Female |
| Credentials: | M.A., OTR/L |
| Practice Address: | 1250 W Broadway Ave, Minneapolis,
Minnesota, 55411-2533 |
| Phone: | 612-668-0254 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1598178204 |
| NPI Enumeration Date: | 10 Jun, 2014 |
| NPI Last Update On: | 08 Jun, 2026 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Thea Renee Fredericksen are as mentioned below.
| License Number | Specialization | State | Status | |
| 104473 | Occupational Therapy | Minnesota | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Thea Renee Fredericksen such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 309557 | Other | Minnesota | NATIONAL BOARD FOR CERTIFICATION IN OCCUPATIONAL THERAPY |
| 104473 | Other | Minnesota | MN OT LICENSE |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Thea Renee Fredericksen
1250 W Broadway Ave,
Minneapolis, Minnesota |
| Zip: | 55411-2533 |
| Phone Number: | 612-668-0254 |
Patients can reach Thea Renee Fredericksen at
1250 W Broadway Ave, Minneapolis, Minnesota or can
call to book an appointment on 612-668-0254.
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 July, 2026.