Individual provider Active NPI

Kelly Frank, PT, DPT

  • Physical Therapist
  • Altamonte Springs, FL
National Provider Identifier
1174929798
Registry record updated Feb 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT 29197 Issued in FL
Practice address
622 Lake Orienta Dr
Altamonte Springs, FL 32701-6308
Phone
(407) 801-7407
Fax
(321) 684-7291
NPI assigned
Nov 10, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 22, 2023

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 PT 29197 FL Primary

Addresses

Primary practice location

622 Lake Orienta Dr
Altamonte Springs, FL 32701-6308

Mailing address

622 Lake Orienta Dr
Altamonte Springs, FL 32701-6308
Phone (904) 540-0584

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT 29197FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Adventist Health System-Sunbelt, Inc PastSince Apr 1, 2020 Accepting new patients

Networks

  • Freedom Health HMO Network

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.

NPI Registry JSON

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

{
    "created_epoch": "1415577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677024000000",
    "number": "1174929798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "622 LAKE ORIENTA DR",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327016308",
            "telephone_number": "904-540-0584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "622 LAKE ORIENTA DR",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327016308",
            "telephone_number": "407-801-7407",
            "fax_number": "321-684-7291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRANK",
        "first_name": "KELLY",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-11-10",
        "last_updated": "2023-02-22",
        "certification_date": "2023-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT 29197",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Altamonte Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2023; 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.