Charlene M Frazer, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT6132 Issued in FL

Practice address

3919 W Newberry Rd
Suite 4
Gainesville, FL 32607-2355

Phone

(352) 373-7984

Fax

(352) 332-3812

NPI assigned

Nov 30, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Fit for Life Physical Therapy, IncGroup PAC ID 2365438181, 12 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Fit for Life Physical Therapy, Inc

  • Physical Therapist
  • Gainesville, FL
  • NPI 1144203894
  Medicare reassignment Care Compare group NPD
• Fit for Life Physical Therapy, Inc

  • Physical Therapist
  • Ocala, FL
  • NPI 1417084674
  NPD

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

{
    "created_epoch": "1133308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1253059200000",
    "number": "1003890575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 357279",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326357279",
            "telephone_number": "352-373-7984",
            "fax_number": "352-332-3812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3919 W NEWBERRY RD",
            "address_2": "SUITE 4",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326072355",
            "telephone_number": "352-373-7984",
            "fax_number": "352-332-3812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRAZER",
        "first_name": "CHARLENE",
        "middle_name": "M",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-30",
        "last_updated": "2009-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT6132",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "891055300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amanda M Frantz, M.D.
• Brynn Skylar Franz, MD
• Matthew Franz, DC
• Emma R Fraunhoffer
• Alie Frazel
• Latasha Renae Frazier-Thomas
• Barbara S Frazier, LCSW
• Domonique Sharmaine Frazier
• Jayme Michelle Frazier
• Jeffrey Frazier, MSM

• Physical Therapist in Gainesville, FL
• Providers in Gainesville, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.