Jack Frawley

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

040.0121580 Issued in VT

Practice address

23 San Remo Dr
South Burlington, VT 05403-6343

Phone

(802) 865-0010

NPI assigned

Jun 4, 2015

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Lisa M. Stephen PH.D., PC

  • Clinical Psychologist
  • Shelburne, VT
  • NPI 1952799694
  NPD (past)
• The Jackson Clinics LLC

  • Physical Therapist
  • Middleburg, VA
  • NPI 1427034982
  NPD (past)

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

{
    "created_epoch": "1433376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604448000000",
    "number": "1194105189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 SAN REMO DR",
            "city": "SOUTH BURLINGTON",
            "state": "VT",
            "postal_code": "054036343",
            "telephone_number": "802-865-0010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 SAN REMO DR",
            "city": "SOUTH BURLINGTON",
            "state": "VT",
            "postal_code": "054036343",
            "telephone_number": "802-865-0010"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2800 S Shirlington Rd",
            "address_2": "510",
            "address_purpose": "LOCATION",
            "city": "Arlington",
            "state": "VA",
            "postal_code": "222063601",
            "country_code": "US",
            "telephone_number": "540-687-8181",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FRAWLEY",
        "first_name": "JACK",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-04",
        "last_updated": "2020-11-04",
        "certification_date": "2020-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VT",
            "license": "040.0121580",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sheryl A Foxman, M.A.
• Frank Carruth, Inc.
• Frank Landry MD PLC
• Douglas Scott Franz, OD
• Brielle Frary, RN
• Julianne Marie French I, R.PH
• Thomas French
• Alexandria Marie Frerich, PHARMD
• Andrew Frerich, PT, DPT
• Bradley T Friesen, M.D.

• Physical Therapist in South Burlington, VT
• Providers in South Burlington, VT by specialty
• Physical Therapist in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 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.