Active NPI
Timothy Richard Fronek, DPT
- Physical Therapist
- Merrillville, IN
National Provider Identifier
1023627353
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 05013474A
- Practice address
- 521 E 86TH Ave Ste J
Merrillville, IN 46410-6236 - Phone
- (219) 736-2801
- NPI assigned
- Jul 22, 2020
- 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 | 05013474A | IN | Primary |
Addresses
Primary practice location
521 E 86TH Ave Ste J
Merrillville, IN 46410-6236
Mailing address
270 E 124TH PL
Crown Point, IN 46307-8070
Phone (219) 742-3758
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 05013474A | IN | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Integrated Therapy Practice | Physical Therapist | Past | Accepting new patients |
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 Therapist
- Hobart, IN
- NPI 1154370120
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1595376000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1595376000000",
"number": "1023627353",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "270 E 124TH PL",
"city": "CROWN POINT",
"state": "IN",
"postal_code": "463078070",
"telephone_number": "219-742-3758"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "521 E 86TH AVE STE J",
"city": "MERRILLVILLE",
"state": "IN",
"postal_code": "464106236",
"telephone_number": "219-736-2801"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRONEK",
"first_name": "TIMOTHY",
"middle_name": "RICHARD",
"name_prefix": "Dr.",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-07-22",
"last_updated": "2020-07-22",
"certification_date": "2020-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IN",
"license": "05013474A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Merrillville, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 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.