Individual provider Active NPI

Brandon Frisco

  • Physical Therapist
  • Springfield, VA
National Provider Identifier
1316429657
Registry record updated Sep 4, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2305212169 Issued in VA
Practice address
7223 Commerce St Ste 40
Springfield, VA 22150-3411
Phone
(703) 935-1999
Fax
(703) 935-1997
NPI assigned
Sep 4, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2018

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 2305212169 VA Primary

Addresses

Primary practice location

7223 Commerce St Ste 40
Springfield, VA 22150-3411

Mailing address

350 New Fidelity CT
Garner, NC 27529-2665
Phone (703) 935-1999

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, NJ, PA3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20190614000886 VA Practitioner - Physical Therapist in Private Practice 7012250780 Reassigns benefits to 1 organization
I20230622002508 NJ Practitioner - Physical Therapist in Private Practice 7012250780 Reassigns benefits to 1 organization
I20230625000095 PA Practitioner - Physical Therapist in Private Practice 7012250780 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Premier Brain and Spine LLCGroup PAC ID 6608264833, 128 clinicians

Practice addresses (Care Compare)

1001 Laurel Oak Rd
Suite A2
Voorhees, NJ 08043-3512
Phone (856) 566-8600

1203 Langhorne Newtown Rd
Suite 220
Langhorne, PA 19047-1209
Phone (215) 860-4274

2 A Princess Rd
Suite 200
Lawrenceville, NJ 08648-2302
Phone (609) 896-0444

2500 Morris Ave
Suite 220
Union, NJ 07083-5675
Phone (732) 906-9600

2501 Kuser Rd
Suite 3
Hamilton, NJ 08691-3386
Phone (609) 896-0444

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Freeman Pain Institute PA Physical Therapist CurrentSince Aug 29, 2023 Accepting new patients
Professional Sportscare & Rehab, LLC Physical Therapist Past Accepting new patients

Locations

2 Princess Rd
Ste 200
Lawrenceville, NJ 08648

10 Forrestal Rd S
Ste 105
Princeton, NJ 08540
Phone (609) 655-1818

2501 Kuser Rd
Ste 3
Trenton, NJ 08691

2500 Morris Ave
Ste 220
Union, NJ 07083
Phone 7329069600312

1001 Laurel Oak Rd
Ste A2
Voorhees, NJ 08043
Phone (856) 566-8600

1203 Langhorne Newtown Rd
Ste 220
Langhorne, PA 19047
Phone (215) 860-4274

Interoperability endpoints

  • Direct secure messaging: brandon.frisco.1@21449.direct.athenahealth.com

Organizations & group practices 4

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": "1536019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536019200000",
    "number": "1316429657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 NEW FIDELITY CT",
            "city": "GARNER",
            "state": "NC",
            "postal_code": "275292665",
            "telephone_number": "703-935-1999",
            "fax_number": "703-935-1997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7223 COMMERCE ST STE 40",
            "city": "SPRINGFIELD",
            "state": "VA",
            "postal_code": "221503411",
            "telephone_number": "703-935-1999",
            "fax_number": "703-935-1997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRISCO",
        "first_name": "BRANDON",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-09-04",
        "last_updated": "2018-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305212169",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.