Jonathan Frakes, PT, DPT
Individual provider Active NPI Physical Therapist · Black Mountain, NC
NPI 1104570001 · NPPES record last updated Oct 8, 2024
Key facts
- NPI
- 1104570001
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- P21031 (NC)
- Practice address
- 997 Old US Hwy 70 W Ste D
Black Mountain, NC 28711-4505 - Phone
- (828) 669-6896
- NPI assigned
- Feb 9, 2022
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P21031 | NC | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Black Mountain Physical Therapy, LLC | Physical Therapist | Current |
Accepting new patients |
| Resurgence Physical Therapy | Physical Therapist | Current | Accepting new patients |
Locations
8215 W 108th Ter
Overland Park, KS 66210
997 Old US Hwy 70 W
Ste D
Black Mtn, NC 28711
Phone (828) 669-6896
2000 Westinghouse Dr
Ste 200
Cranberry Twp, PA 16066
Phone (724) 584-5732
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | P21031 | NC | Yes |
Addresses
Primary practice location
997 Old US Hwy 70 W Ste D
Black Mountain, NC 28711-4505
Mailing address
PO Box 392573
Pittsburgh, PA 15251-9573
Phone (724) 343-4060
Other practice location 1
101 E Allen St Ste 103
Hendersonville, NC 28792-5091
Phone (828) 417-0160
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://199.119.81.30:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRResponse_Service | Other | eSolutions Inc |
Other providers in Black Mountain, NC
- Hunter Foreman
- Jesse Foreman
- Meredith Suzanne Fowler
- Rachel Anne Fowler
- Troy Edward Fowler
- Sherry Ann Friedman
- James Robert Frith Jr.
- Sarah Gay
- Alaina N Gelineau
- Geripsych Services PLLC
All providers in Black Mountain, NC · Physical Therapist in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 8, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.