Nicole Marie Frey, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA20743 Issued in FL

Practice address

3505 Lake Lynda Dr
Suite 207
Orlando, FL 32817-8324

Phone

(877) 896-3660

NPI assigned

May 26, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1180137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1033320296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9302 FIRENZE DR APT 105",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334188140",
            "telephone_number": "614-634-3783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3505 LAKE LYNDA DR",
            "address_2": "SUITE 207",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328178324",
            "telephone_number": "877-896-3660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREY",
        "first_name": "NICOLE",
        "middle_name": "MARIE",
        "name_prefix": "Miss",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "FL",
            "license": "PTA20743",
            "primary": true
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "OH",
            "license": "PTA06142",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fresenius Vascular Care Four Corners ASC LLC
• Fresh Clean Solutions LLC
• Fresh Start Solution
• Fresh Start Therapy Services, LLC
• Christian Frey, MD
• Jaqueline Mariette Freyre-Cubano, MD
• Alice Freytes
• Kathleen Hsu Frezza, PHARMD
• Yarina Frias Guzman, DDS
• Maribel Frias Morales, MD, DABFM, CAQGM

• Physical Therapy Assistant in Orlando, FL
• Providers in Orlando, FL by specialty
• Physical Therapy Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.