Active NPI
Thomas Frye
- Physical Therapist
- New Martinsville, WV
National Provider Identifier
1023449626
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 002719
- Practice address
- 411 N WV-2
New Martinsville, WV 26155 - Phone
- (304) 455-5515
- NPI assigned
- Dec 6, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 002719 | WV | Primary |
Addresses
Primary practice location
411 N WV-2
New Martinsville, WV 26155
Mailing address
44028 Sr 78
Woodsfield, OH 43793
Other practice location 1
44028 Sr 78
Woodsfield, OH 43793
Phone (740) 213-0558
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Desktop/tablet |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 002719 | WV | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1386288000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1664496000000",
"number": "1023449626",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "44028 SR 78",
"city": "WOODSFIELD",
"state": "OH",
"postal_code": "43793"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "411 N WV-2",
"city": "NEW MARTINSVILLE",
"state": "WV",
"postal_code": "26155",
"telephone_number": "304-455-5515"
}
],
"practiceLocations": [
{
"address_1": "44028 SR 78",
"address_purpose": "LOCATION",
"city": "Woodsfield",
"state": "OH",
"postal_code": "43793",
"country_code": "US",
"telephone_number": "740-213-0558",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FRYE",
"first_name": "THOMAS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-12-06",
"last_updated": "2022-09-30",
"certification_date": "2022-09-28",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WV",
"license": "002719",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Desktop/tablet",
"affiliation": "N",
"address_1": "411 N WV-2",
"city": "New Martinsville",
"state": "WV",
"country_code": "US",
"postal_code": "26155",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in New Martinsville, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.