Active NPI
Casondra Lynn Frey
- Physical Therapy Assistant
- Oakley, KS
National Provider Identifier
1093087652
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 14-02222
- Practice address
- 414 Freeman Ave
Oakley, KS 67748-1920 - Phone
- (308) 293-3301
- NPI assigned
- Jan 29, 2012
- Last updated
- Jan 29, 2012
- 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 Therapy Assistant | 225200000X | 14-02222 | KS | Primary |
Addresses
Primary practice location
414 Freeman Ave
Oakley, KS 67748-1920
Mailing address
414 Freeman Ave
Oakley, KS 67748-1920
Phone (308) 293-3301
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14-02222 | KS | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1327795200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1327795200000",
"number": "1093087652",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "414 FREEMAN AVE",
"city": "OAKLEY",
"state": "KS",
"postal_code": "677481920",
"telephone_number": "308-293-3301"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "414 FREEMAN AVE",
"city": "OAKLEY",
"state": "KS",
"postal_code": "677481920",
"telephone_number": "308-293-3301"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FREY",
"first_name": "CASONDRA",
"middle_name": "LYNN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-01-29",
"last_updated": "2012-01-29",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "KS",
"license": "14-02222",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oakley, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.