Myndi Frey, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

30160 Issued in CA

Practice address

222 Acacia St
Fairfield, CA 94533-3800

Phone

(707) 421-2095

Fax

(707) 434-9725

NPI assigned

Jan 23, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

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 and National Provider Directory roles.

• Body in Balance Physical Therapy, Inc.

  • Physical Therapy Clinic/Center
  • Fairfield, CA
  • NPI 1811982747

  Physical Therapist

  NPD (past)
• Golden Bear Physical Therapy Sports Injury Center, Inc

  • Physical Therapy Clinic/Center
  • Modesto, CA
  • NPI 1811084676

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1336294396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 ACACIA STREET",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "94533",
            "telephone_number": "707-421-2095",
            "fax_number": "707-434-9725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 ACACIA ST",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "945333800",
            "telephone_number": "707-421-2095",
            "fax_number": "707-434-9725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREY",
        "first_name": "MYNDI",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "30160",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ingrid C. Freeny, M.D.
• Margaret Freifeld, MA,MS,EDSPECIALIST
• Carleigh French, ASW
• Stefanie Rose French
• Sherri Frey Ludwig, MSRD
• Ciana Frias
• Kimberly Maria Frias, RN
• Priscilla Frias
• Erin R Frick, PSY.D.
• Elena Friio

• Physical Therapist in Fairfield, CA
• Providers in Fairfield, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.