Organization Active NPI

Orange County Physical Therapy LLC

  • Physical Therapy Clinic/Center
  • Orange, TX
National Provider Identifier
1346757929
Registry record updated Jan 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
683000000 Issued in TX
Legal business name
ORANGE COUNTY PHYSICAL THERAPY LLC
Practice address
3920 W Park Ave
Orange, TX 77630-1756
Phone
(409) 920-4105
Fax
(409) 920-4107
NPI assigned
Jan 4, 2018
Last updated
Jan 29, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2024

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

Authorized official

Name
Kimberly Frenzel
Title
Owner
Phone
(409) 920-4105

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 683000000 TX
Physical Therapy Clinic/Center 261QP2000X 683000000 TX Primary

Addresses

Primary practice location

3920 W Park Ave
Orange, TX 77630-1756

Mailing address

PO Box 112
Orange, TX 77631-0112
Phone (409) 920-4105

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180529002243 TX Part B Supplier - Physical/Occupational Therapy Group in Private Practice 5890050629 Receives reassigned benefits from 1 practitioner
Practice locations: Orange, TX

National Provider Directory

National Provider Directory

Locations

3920 W Park Ave
Orange, TX 77630
Phone (409) 920-4105

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1515024000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706486400000",
    "number": "1346757929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 112",
            "city": "ORANGE",
            "state": "TX",
            "postal_code": "776310112",
            "telephone_number": "409-920-4105",
            "fax_number": "409-920-4107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3920 W PARK AVE",
            "city": "ORANGE",
            "state": "TX",
            "postal_code": "776301756",
            "telephone_number": "409-920-4105",
            "fax_number": "409-920-4107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORANGE COUNTY PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-04",
        "last_updated": "2024-01-29",
        "certification_date": "2024-01-29",
        "status": "A",
        "authorized_official_last_name": "FRENZEL",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "409-920-4105"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "TX",
            "license": "683000000",
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "TX",
            "license": "683000000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 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.