Individual provider Active NPI

Abraham Frias, PT

  • Physical Therapist
  • Port Saint Lucie, FL
National Provider Identifier
1336604982
Registry record updated Jun 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
34295 Issued in FL
Practice address
1809 SE Port St Lucie Blvd
Port Saint Lucie, FL 34952-5544
Phone
(561) 344-8254
NPI assigned
Feb 7, 2019
Last updated
Jun 21, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 21, 2025

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 34295 FL Primary

Addresses

Primary practice location

1809 SE Port St Lucie Blvd
Port Saint Lucie, FL 34952-5544

Mailing address

175 NE Dominican Ter
Port Saint Lucie, FL 34983-1202
Phone (561) 344-8254

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221209001510 FL Practitioner - Physical Therapist in Private Practice 6901174010 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
One Faith Therapy Inc.Group PAC ID 8628579844, 5 clinicians

Practice addresses (Care Compare)

240 NW Peacock Blvd
Suite 104
Port Saint Lucie, FL 34986-2274
Phone (561) 344-8254

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
34295FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
One Faith Therapy Inc. Physical Therapist CurrentSince Feb 28, 2025 Accepting new patients
Ultimate Care Inc. Past Accepting new patients

Locations

240 NW Peacock Blvd
Ste 104
Port Saint Lucie, FL 34986
Phone (561) 344-8254

1809 SE Port St Lucie Blvd
Port St Lucie, FL 34952
Phone (561) 344-8254

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1549497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750464000000",
    "number": "1336604982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 NE DOMINICAN TER",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349831202",
            "telephone_number": "561-344-8254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1809 SE PORT ST LUCIE BLVD",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349525544",
            "telephone_number": "561-344-8254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRIAS",
        "first_name": "ABRAHAM",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-02-07",
        "last_updated": "2025-06-21",
        "certification_date": "2025-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "34295",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Saint Lucie, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2025; 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.