Benjamin Froelich, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

0126003179 Issued in VA

Practice address

1971 University Blvd
Lynchburg, VA 24515-4132

Phone

(804) 837-4681

NPI assigned

Feb 7, 2017

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1486425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560988800000",
    "number": "1003354382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 WESTHAVEN PL",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245012428",
            "telephone_number": "804-837-4681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1971 UNIVERSITY BLVD",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245154132",
            "telephone_number": "804-837-4681"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2110 Rivermont Ave Apt 4",
            "address_purpose": "LOCATION",
            "city": "Lynchburg",
            "state": "VA",
            "postal_code": "245034132",
            "country_code": "US",
            "telephone_number": "804-837-4681",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FROELICH",
        "first_name": "BENJAMIN",
        "credential": "ATC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-02-07",
        "last_updated": "2019-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "VA",
            "license": "0126003179",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lindsey Diane Frett, RN
• Corinna Danielle Freyre
• Tristen Zyle Frias
• Deborah Friedman, OTR/L
• Carole R Friend, PT
• Amatul Fulani
• Mu'Minah B Fulani
• Alexis Fulcher
• Carisma Denisha Fuller
• Jeffrey Alan Fulmer, LCSW

• Athletic Trainer in Lynchburg, VA
• Providers in Lynchburg, VA by specialty
• Athletic Trainer in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.