Individual provider Active NPI

Sophia Frawley, DPT

  • Physical Therapist
  • Indianepolis, IN
National Provider Identifier
1013301142
Registry record updated Jul 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
05013523A Issued in IN
Practice address
7855 South Emerson Avenue
Suite W
Indianepolis, IN 46237
Phone
(317) 889-5340
NPI assigned
Mar 26, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X 36002627A IN
Student in an Organized Health Care Education/Training Program 390200000X
Physical Therapist 225100000X 05013523A IN Primary

Addresses

Primary practice location

7855 South Emerson Avenue
Suite W
Indianepolis, IN 46237

Mailing address

4251 Lahmeyer Rd
Fort Wayne, IN 46815
Phone (260) 490-4800

Other practice location 1

1400 E Hanna Ave
Indianapolis, IN 46227-3630
Phone (260) 273-8126

Other names 1

  • Sophia Gerber Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
05013523AINMDPhysical Therapist
36002627AINMDAthletic Trainer

Practice roles

OrganizationSpecialtyStatusNew patients
Indiana Physical Therapy, Inc Physical Therapist PastSince Aug 1, 2019 Accepting new patients
University of Indianapolis Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1427328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594944000000",
    "number": "1013301142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4251 LAHMEYER RD",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "46815",
            "telephone_number": "260-490-4800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7855 SOUTH EMERSON AVENUE",
            "address_2": "SUITE W",
            "city": "INDIANEPOLIS",
            "state": "IN",
            "postal_code": "46237",
            "telephone_number": "317-889-5340"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1400 E Hanna Ave",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462273630",
            "country_code": "US",
            "telephone_number": "260-273-8126",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FRAWLEY",
        "first_name": "SOPHIA",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-26",
        "last_updated": "2020-07-17",
        "certification_date": "2020-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "IN",
            "license": "36002627A",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IN",
            "license": "05013523A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SOPHIA",
            "last_name": "GERBER",
            "credential": "DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2020; 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.