Active NPI
Dean Jacob Frye, MOTR/L
- Occupational Therapist
- Austin, TX
National Provider Identifier
1104580257
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 121930
- Practice address
- 4607 Menchaca Rd
Austin, TX 78745-1607 - Phone
- (512) 916-1511
- Fax
- (512) 916-1532
- NPI assigned
- Oct 25, 2021
- Last updated
- May 21, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 121930 | TX | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mga Healthcare Texas, LLC | Current | Accepting new patients | |
| Mga Healthcare Texas, LLC | Past | Accepting new patients | |
| Kidtherapy, PLLC | Occupational Therapist | Past | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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.