Individual provider Active NPI

Tracy Lee Frith, DPT

  • Physical Therapist
  • Maple Heights, OH
National Provider Identifier
1083987960
Registry record updated Nov 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
OT015511 Issued in OH
Practice address
5500 Northfield Rd
Maple Heights, OH 44137-3114
Phone
(216) 510-4719
Fax
(216) 510-4772
NPI assigned
Feb 22, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 24, 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 OT015511 OH Primary

Addresses

Primary practice location

5500 Northfield Rd
Maple Heights, OH 44137-3114

Mailing address

32107 Hamilton CT Apt 203
Solon, OH 44139-5733
Phone (248) 705-1652

Other identifiers 1

IdentifierTypeStateIssuer
12418975OtherOHCAQH

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

State licenses

LicenseStateTypeSpecialty
OT015511OHMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
All-Pro Physical Therapy LLC Physical Therapist Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1329868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1448323200000",
    "number": "1083987960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32107 HAMILTON CT APT 203",
            "city": "SOLON",
            "state": "OH",
            "postal_code": "441395733",
            "telephone_number": "248-705-1652",
            "fax_number": "216-901-2803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5500 NORTHFIELD RD",
            "city": "MAPLE HEIGHTS",
            "state": "OH",
            "postal_code": "441373114",
            "telephone_number": "216-510-4719",
            "fax_number": "216-510-4772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRITH",
        "first_name": "TRACY",
        "middle_name": "LEE",
        "name_prefix": "Mrs.",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-02-22",
        "last_updated": "2015-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "OT015511",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "12418975",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Maple Heights, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 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.