Elizabeth V Fruner, PTA

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

49804 Issued in CA

Practice address

678 2ND St W
Sonoma, CA 95476-6901

Phone

(707) 938-1096

NPI assigned

Apr 28, 2021

Sex

Female

Sole proprietor

Yes

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1619568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619568000000",
    "number": "1073195012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "905 MAPLE ST",
            "city": "HOQUIAM",
            "state": "WA",
            "postal_code": "985502110",
            "telephone_number": "360-917-5253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "678 2ND ST W",
            "city": "SONOMA",
            "state": "CA",
            "postal_code": "954766901",
            "telephone_number": "707-938-1096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRUNER",
        "first_name": "ELIZABETH",
        "middle_name": "V",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-28",
        "last_updated": "2021-04-28",
        "certification_date": "2021-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "CA",
            "license": "49804",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elena Fowler, MD
• Gaye Freeman, MFT
• Rochelle Pratima Freeman, MFT
• Anne Margaret French, MD
• Erick S. French, MD
• Kellen James Gallagher
• Edgar Alexis Garcia Mora
• Amandeep Garg
• Elizabeth Rose Gawron, M.D.
• Genevie Dream Home, Inc.

• Physical Medicine & Rehabilitation Physician in Sonoma, CA
• Providers in Sonoma, CA by specialty
• Physical Medicine & Rehabilitation Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2021; 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.