Mind Body Physical Therapy PC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

MIND BODY PHYSICAL THERAPY PC

Practice address

212 Elks Point Rd Unit 332
Zephyr Cove, NV 89448-8016

Phone

(530) 541-7133

Fax

(530) 725-4500

NPI assigned

Jan 29, 2021

Organization subpart

No

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

Authorized official

Name

Christina Chandra FrohlichNPI 1811274079

Title

Owner

Phone

(909) 362-1196

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Mind Body Physical Therapy Doing business as

Medicare fee-for-service enrollment

Enrolled in NV

Enrollment records 1

Locations

Practitioners 1

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

• Christina Chandra Frohlich, D.P.T.

  • Physical Therapist
  • Zephyr Cove, NV
  • NPI 1811274079

  NV, Physical Therapist

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1611878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712707200000",
    "number": "1285225540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10785",
            "city": "ZEPHYR COVE",
            "state": "NV",
            "postal_code": "894482785",
            "telephone_number": "530-541-7133",
            "fax_number": "530-725-4500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 ELKS POINT RD UNIT 332",
            "city": "ZEPHYR COVE",
            "state": "NV",
            "postal_code": "894488016",
            "telephone_number": "530-541-7133",
            "fax_number": "530-725-4500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIND BODY PHYSICAL THERAPY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-29",
        "last_updated": "2024-04-10",
        "certification_date": "2024-04-10",
        "status": "A",
        "authorized_official_last_name": "FROHLICH",
        "authorized_official_first_name": "CHRISTINA",
        "authorized_official_middle_name": "CHANDRA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "909-362-1196"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "14128397",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mind Body Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Physical Therapist in Zephyr Cove, NV
• Providers in Zephyr Cove, NV by specialty
• Physical Therapist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.