Active NPI
Kendra Frank
- Physical Therapist
- Cranston, RI
National Provider Identifier
1114180338
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT02161
- Practice address
- 721 Reservoir Ave
Cranston, RI 02910-4430 - Phone
- (401) 946-4250
- NPI assigned
- Jul 8, 2008
- Sex
- Female
- Sole proprietor
- No
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 Therapist | 225100000X | PT02161 | RI | Primary |
Addresses
Primary practice location
721 Reservoir Ave
Cranston, RI 02910-4430
Mailing address
721 Reservoir Ave
Cranston, RI 02910-4430
Phone (401) 946-4250
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PT02161 | Other | RI | RI PT LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
681 Portola Dr
San Francisco, CA 94127-1207
Phone (415) 664-6492
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 41308 | CA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dljpt Inc | Physical Therapist | Current | Accepting new patients |
Locations
681 Portola Dr
San Francisco, CA 94127
Phone (415) 664-6492
Organizations & group practices 1
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.
-
- Physical Therapist
- San Francisco, CA
- NPI 1922878560
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1215475200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1215475200000",
"number": "1114180338",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "721 RESERVOIR AVE",
"city": "CRANSTON",
"state": "RI",
"postal_code": "029104430",
"telephone_number": "401-946-4250"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "721 RESERVOIR AVE",
"city": "CRANSTON",
"state": "RI",
"postal_code": "029104430",
"telephone_number": "401-946-4250"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRANK",
"first_name": "KENDRA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-07-08",
"last_updated": "2008-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "RI",
"license": "PT02161",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RI PT LICENSE",
"identifier": "PT02161",
"state": "RI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cranston, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.