Jeremy Kyle Frankum, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT013544 Issued in GA

Practice address

123 Canal St Ste 203
Pooler, GA 31322-4104

Phone

(912) 388-1283

Fax

(912) 988-1652

NPI assigned

Aug 29, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Effingham Rehab Services, LLC

  dba CORA Physical Therapy - Hinesville

  • Rehabilitation Clinic/Center
  • Hinesville, GA
  • NPI 1588187090
  NPD (past)

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

{
    "created_epoch": "1535500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599782400000",
    "number": "1053893875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 CANAL ST STE 203",
            "city": "POOLER",
            "state": "GA",
            "postal_code": "313224104",
            "telephone_number": "912-388-1283",
            "fax_number": "912-988-1652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 CANAL ST STE 203",
            "city": "POOLER",
            "state": "GA",
            "postal_code": "313224104",
            "telephone_number": "912-388-1283",
            "fax_number": "912-988-1652"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "475 S Main St",
            "address_purpose": "LOCATION",
            "city": "Hinesville",
            "state": "GA",
            "postal_code": "313134312",
            "country_code": "US",
            "telephone_number": "912-368-4131",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FRANKUM",
        "first_name": "JEREMY",
        "middle_name": "KYLE",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-08-29",
        "last_updated": "2020-09-11",
        "certification_date": "2020-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT013544",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marissa Flowers
• Crystal Ford, APRN-BC, BCBA, LBA
• Sydnie Leeann Fordham, BCBA
• Sarah Roxanne Fort
• Austin Fortner, DC
• Taylor Frazier, MD
• Kristal Rene Freeman, LPC
• Fresh Heads Savannah, LLC
• Victoria Lynn Freyermuth
• Jasmine Fuller

• Physical Therapist in Pooler, GA
• Providers in Pooler, GA by specialty
• Physical Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.

Verify at the official NPI Registry.