Individual provider Active NPI

Jennifer F Frisbie, OTR

  • Occupational Therapist
  • Fishers, IN
National Provider Identifier
1124089172
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
31000258A Issued in IN
Practice address
7812 Bryden Dr
Fishers, IN 46038-1412
Phone
(317) 840-6105
Fax
(317) 863-0255
NPI assigned
Mar 29, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 31000258A IN Primary

Addresses

Primary practice location

7812 Bryden Dr
Fishers, IN 46038-1412

Mailing address

7812 Bryden Dr
Fishers, IN 46038-1412
Phone (317) 840-6105

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
31000258AINMDOccupational Therapist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1143590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1124089172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7812 BRYDEN DR",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460381412",
            "telephone_number": "317-840-6105",
            "fax_number": "317-863-0255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7812 BRYDEN DR",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460381412",
            "telephone_number": "317-840-6105",
            "fax_number": "317-863-0255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRISBIE",
        "first_name": "JENNIFER",
        "middle_name": "F",
        "credential": "OTR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-03-29",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IN",
            "license": "31000258A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fishers, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.