Active NPI
Connie Frost, PT
- Physical Therapist
- Marrero, LA
National Provider Identifier
1053570333
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 02740
- Practice address
- 4633 Wichers Dr
Marrero, LA 70072-3002 - Phone
- (504) 347-0733
- Fax
- (504) 378-9329
- NPI assigned
- Jun 3, 2008
- Last updated
- Jan 30, 2015
- Sex
- Female
- Sole proprietor
- Yes
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 | 02740 | LA | Primary |
Addresses
Primary practice location
4633 Wichers Dr
Marrero, LA 70072-3002
Mailing address
PO Box 848766
Boston, LA 02284-8766
Phone (504) 347-5421
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053570333 | Other | BLUE CROSS/BLUE SHIELD | |
| 02740 | Other | LA | PT LICENSE |
Other names 1
- Connie M Cavdar
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| LMG, LLC | Current | Accepting new patients | |
| LMG LLC | Physical Therapist | Current | Accepting new patients |
Locations
4633 Wichers Dr
Marrero, LA 70072
Phone (504) 347-5421
2600 Belle Chasse Hwy
Ste I
Terrytown, LA 70056
Phone (504) 391-7670
Interoperability endpoints
- https://api.platform.athenahealth.com/20631/brand/1/csg/1/fhir/r4
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Orthopaedic Surgery Physician
- Covington, LA
- NPI 1356807663
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1212451200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1422576000000",
"number": "1053570333",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 848766",
"city": "BOSTON",
"state": "LA",
"postal_code": "022848766",
"telephone_number": "504-347-5421",
"fax_number": "504-340-5171"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4633 WICHERS DR",
"city": "MARRERO",
"state": "LA",
"postal_code": "700723002",
"telephone_number": "504-347-0733",
"fax_number": "504-378-9329"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FROST",
"first_name": "CONNIE",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-06-03",
"last_updated": "2015-01-30",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "LA",
"license": "02740",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS/BLUE SHIELD",
"identifier": "1053570333",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PT LICENSE",
"identifier": "02740",
"state": "LA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "CONNIE",
"last_name": "CAVDAR",
"middle_name": "M",
"credential": "PT",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Marrero, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.