Individual provider Active NPI

Meagan Ann Frey, DPT

  • Orthopedic Physical Therapist
  • Clearwater, FL
National Provider Identifier
1184901118
Registry record updated Apr 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
PT26538 Issued in FL
Practice address
13830 58TH St N
Suite 409
Clearwater, FL 33760-3720
Phone
(727) 532-1900
Fax
(727) 532-4300
NPI assigned
Nov 4, 2011
Last updated
Apr 13, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X PT26538 FL Primary

Addresses

Primary practice location

13830 58TH St N
Suite 409
Clearwater, FL 33760-3720

Mailing address

13830 58TH St N
Suite 409
Clearwater, FL 33760-3720
Phone (727) 532-1900

Other identifiers 1

IdentifierTypeStateIssuer
PT26538OtherFLDOCTOR OF PHYSICAL THERAPY

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
PT26538FLMDOrthopedic Physical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1320364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586736000000",
    "number": "1184901118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13830 58TH ST N",
            "address_2": "SUITE 409",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337603720",
            "telephone_number": "727-532-1900",
            "fax_number": "727-532-4300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13830 58TH ST N",
            "address_2": "SUITE 409",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337603720",
            "telephone_number": "727-532-1900",
            "fax_number": "727-532-4300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREY",
        "first_name": "MEAGAN",
        "middle_name": "ANN",
        "name_prefix": "Miss",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-11-04",
        "last_updated": "2020-04-13",
        "certification_date": "2020-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "FL",
            "license": "PT26538",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DOCTOR OF PHYSICAL THERAPY",
            "identifier": "PT26538",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clearwater, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2020; 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.