Stephanie L Fritz-Ta

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT00010010 Issued in WA

Practice address

91 SW Chehalis Ave Ste 104
Chehalis, WA 98532-1934

Phone

(360) 330-8626

NPI assigned

Dec 8, 2006

Last updated

Jul 8, 2007By the provider in NPPES

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

Other identifiers 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1165536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1376602870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 84646",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981245946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "91 SW CHEHALIS AVE STE 104",
            "city": "CHEHALIS",
            "state": "WA",
            "postal_code": "985321934",
            "telephone_number": "360-330-8626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRITZ-TA",
        "first_name": "STEPHANIE",
        "middle_name": "L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT00010010",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "PT00010010",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE",
            "identifier": "1164FI",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L & I",
            "identifier": "168456",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8380537",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lisa Ann Franklin, BA CDPT
• Victoria Lizette Franklin
• Nicole Frazier
• Laura S Freeman, LMT
• Michael Paul Frietze, LMT, NAC
• Helmuth Franz Fritz, MD, RVT
• Kenton Fritz, PA
• Brianna Leeann Fuentes
• Russell Owen Funk, M.S.
• Teresa Gaiser

• Physical Therapist in Chehalis, WA
• Providers in Chehalis, WA by specialty
• Physical Therapist in Washington

• 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.