Active NPI
Victoria Fryzel Dunn, DPT
- Physical Therapist
- Bala Cynwyd, PA
National Provider Identifier
1013514942
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT030979
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT030979 | PA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Spring Sport & Spine, PLLC | Physical Therapist | Current | 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.
-
- Physical Medicine & Rehabilitation Physician
- Spring, TX
- NPI 1174213961
Physical Therapist
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.