Frontier Therapy, LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

FRONTIER THERAPY, LLC

Practice address

1016 E Black Butte Ave
Sisters, OR 97759-5043

Phone

(971) 219-3656

NPI assigned

Jun 24, 2020

Organization subpart

No

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

Authorized official

Name

David NunnNPI 1548512049

Title

Owner

Phone

(971) 219-3656

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• David A Nunn

  • Physical Rehabilitation Occupational Therapist
  • Portland, OR
  • NPI 1548512049
  NPD Authorized official
• Jamie Paula Goldstein, PT, DPT

  • Physical Therapist
  • Dover, NH
  • NPI 1396908794
  NPD (past)

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

{
    "created_epoch": "1592956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616716800000",
    "number": "1144846205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1016 E BLACK BUTTE AVE",
            "city": "SISTERS",
            "state": "OR",
            "postal_code": "977595043",
            "telephone_number": "971-219-3656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1016 E BLACK BUTTE AVE",
            "city": "SISTERS",
            "state": "OR",
            "postal_code": "977595043",
            "telephone_number": "971-219-3656"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "116 Cherokee St",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "802231403",
            "country_code": "US",
            "telephone_number": "802-346-8862",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FRONTIER THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-24",
        "last_updated": "2021-03-26",
        "certification_date": "2021-03-26",
        "status": "A",
        "authorized_official_last_name": "NUNN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "971-219-3656"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Frankel
• Frideres Dental LLC
• Frideres Dental LLC
• Trevor Mathias Bauer Frideres, D.M.D.
• Gordon Paul Friesen, RPH
• Kelsey Grace Goertzen
• Margaret Norene Gonsiewski, LCSW
• Samantha Leigh Goodrich, B.A.
• Adriana Goodwin
• Inice D Gough, D.C.

• All providers in Sisters, OR
• Physical Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2021; 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.