Individual provider Active NPI

Deana Vonfrisch

  • Physical Therapist
  • Hazle Township, PA
National Provider Identifier
1144659475
Registry record updated Nov 7, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
TEI000109 Issued in PA
Practice address
403 Hazle Township Blvd
Hazle Township, PA 18202-9661
Phone
(570) 454-8888
Fax
(570) 459-9252
NPI assigned
Nov 7, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X TEI000109 PA Primary

Addresses

Primary practice location

403 Hazle Township Blvd
Hazle Township, PA 18202-9661

Mailing address

1418 Brenkman Dr
Weatherly, PA 18255-2528

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
TEI000109PAMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1383782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383782400000",
    "number": "1144659475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1418 BRENKMAN DR",
            "city": "WEATHERLY",
            "state": "PA",
            "postal_code": "182552528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403 HAZLE TOWNSHIP BLVD",
            "city": "HAZLE TOWNSHIP",
            "state": "PA",
            "postal_code": "182029661",
            "telephone_number": "570-454-8888",
            "fax_number": "570-459-9252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VONFRISCH",
        "first_name": "DEANA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-11-07",
        "last_updated": "2013-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "TEI000109",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hazle Township, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2013; 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.