NPIMap

Individual provider Active NPI

Dean Jacob Frye, MOTR/L

  • Occupational Therapist
  • Austin, TX
National Provider Identifier
1104580257
Registry record updated May 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
121930 Issued in TX
Practice address
4607 Menchaca Rd
Austin, TX 78745-1607
Phone
(512) 916-1511
Fax
(512) 916-1532
NPI assigned
Oct 25, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational Therapist 225XP0200X 121930 TX
Occupational Therapist 225X00000X 121930 TX Primary

Addresses

Primary practice location

4607 Menchaca Rd
Austin, TX 78745-1607

Mailing address

1701 Oak Hill LN Apt 215
Austin, TX 78744-2222
Phone (304) 771-3388

Other practice location 1

8300 N Mopac Expy Ste 150
Austin, TX 78759-0027
Phone (512) 872-2180

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://mgahomecare.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

LicenseStateTypeSpecialty
121930TXMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Mga Healthcare Texas, LLC CurrentSince Oct 1, 2021 Accepting new patients
Kidtherapy, PLLC Occupational Therapist PastSince May 26, 2024 Accepting new patients
Mga Healthcare Texas, LLC PastSince Oct 1, 2021 Accepting new patients

Locations

8300 N Mopac Expy
Ste 150
Austin, TX 78759
Phone (512) 872-2180

Organizations & group practices 3

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": "1635120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716249600000",
    "number": "1104580257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 OAK HILL LN APT 215",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787442222",
            "telephone_number": "304-771-3388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4607 MENCHACA RD",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787451607",
            "telephone_number": "512-916-1511",
            "fax_number": "512-916-1532"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8300 N Mopac Expy Ste 150",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787590027",
            "country_code": "US",
            "telephone_number": "512-872-2180",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FRYE",
        "first_name": "DEAN",
        "middle_name": "JACOB",
        "credential": "MOTR/L",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-10-25",
        "last_updated": "2024-05-21",
        "certification_date": "2024-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "TX",
            "license": "121930",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TX",
            "license": "121930",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://mgahomecare.com",
            "affiliation": "N",
            "address_1": "8300 N Mopac Expy Ste 150",
            "city": "Austin",
            "state": "TX",
            "country_code": "US",
            "postal_code": "787590027",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2024; 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.