Individual provider Active NPI

Victoria Fryzel Dunn, DPT

  • Physical Therapist
  • Bala Cynwyd, PA
National Provider Identifier
1013514942
Registry record updated Dec 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT030979 Issued in PA
Practice address
2 Bala PLZ Ste Il47
Bala Cynwyd, PA 19004-1510
Phone
(877) 969-7342
NPI assigned
Oct 5, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT030979 PA Primary
Physical Therapist 225100000X PT03333 RI

Addresses

Primary practice location

2 Bala PLZ Ste Il47
Bala Cynwyd, PA 19004-1510

Mailing address

2909 N 118TH St Ste 200
Omaha, NE 68164-3643
Phone (402) 509-5532

Other practice location 1

21 Division St
Pawtucket, RI 02860-5352
Phone (401) 726-7100

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240628000111 TX Practitioner - Physical Therapist in Private Practice 8921428541 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT030979PAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Spring Sport & Spine, PLLC Physical Therapist CurrentSince Jun 12, 2024 Accepting new patients

Locations

19510 Kuykendahl Rd
Ste C
Spring, TX 77379
Phone (281) 651-7111

25700 Interstate 45
Ste 4300
The Woodlands, TX 77386
Phone (765) 416-3612

Organizations & group practices 1

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": "1601856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671753600000",
    "number": "1013514942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2909 N 118TH ST STE 200",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681643643",
            "telephone_number": "402-509-5532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 BALA PLZ STE IL47",
            "city": "BALA CYNWYD",
            "state": "PA",
            "postal_code": "190041510",
            "telephone_number": "877-969-7342"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "21 Division St",
            "address_purpose": "LOCATION",
            "city": "Pawtucket",
            "state": "RI",
            "postal_code": "028605352",
            "country_code": "US",
            "telephone_number": "401-726-7100",
            "fax_number": "401-722-9386",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DUNN",
        "first_name": "VICTORIA",
        "middle_name": "FRYZEL",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-05",
        "last_updated": "2022-12-23",
        "certification_date": "2022-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT030979",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "RI",
            "license": "PT03333",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "direct",
            "affiliation": "N",
            "address_1": "2 Bala Plz Ste Il47",
            "city": "Bala Cynwyd",
            "state": "PA",
            "country_code": "US",
            "postal_code": "190041510",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bala Cynwyd, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.