Active NPI
Nadine Fruchter, PT
- Geriatric Physical Therapist
- Long Beach, CA
National Provider Identifier
1104443167
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Physical Therapist
- License
- PT25296
- Practice address
- 35 La Linda Dr
Long Beach, CA 90807-3305 - Phone
- (562) 833-8681
- NPI assigned
- Jun 25, 2020
- 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 |
|---|---|---|---|---|
| Geriatric Physical Therapist | 2251G0304X | PT25296 | CA | Primary |
Addresses
Primary practice location
35 La Linda Dr
Long Beach, CA 90807-3305
Mailing address
35 La Linda Dr
Long Beach, CA 90807-3305
Phone (562) 833-8681
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | nadinefruchter@gmail.com |
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 |
|---|---|---|---|
| PT25296 | CA | MD | Geriatric Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1593043200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1593043200000",
"number": "1104443167",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "35 LA LINDA DR",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908073305",
"telephone_number": "562-833-8681"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "35 LA LINDA DR",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908073305",
"telephone_number": "562-833-8681"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRUCHTER",
"first_name": "NADINE",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-06-25",
"last_updated": "2020-06-25",
"certification_date": "2020-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "2251G0304X",
"taxonomy_group": "",
"desc": "Physical Therapist, Geriatrics",
"state": "CA",
"license": "PT25296",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "nadinefruchter@gmail.com",
"affiliation": "N",
"address_1": "35 La Linda Dr",
"city": "Long Beach",
"state": "CA",
"country_code": "US",
"postal_code": "908073305",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Long Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 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.