Individual provider Active NPI

Connie Frost, PT

  • Physical Therapist
  • Marrero, LA
National Provider Identifier
1053570333
Registry record updated Jan 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
02740 Issued in LA
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, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 30, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1053570333OtherBLUE CROSS/BLUE SHIELD
02740OtherLAPT LICENSE

Other names 1

  • Connie M Cavdar Former name

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

OrganizationSpecialtyStatusNew patients
LMG, LLC CurrentSince Mar 2, 2015 Accepting new patients
LMG LLC Physical Therapist CurrentSince Mar 2, 2015 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

  • FHIR API: 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.

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.

Verify at the official NPI Registry.