Active NPI
Deonna Frichtl, M.S.P.T.
- Physical Therapist
- Priest River, ID
National Provider Identifier
1376821744
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT-2854
- Practice address
- 37 Highway 57
Priest River, ID 83856-6559 - Phone
- (208) 627-3747
- NPI assigned
- Aug 2, 2011
- Last updated
- Dec 15, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT-2854 | ID | Primary |
Addresses
Primary practice location
37 Highway 57
Priest River, ID 83856-6559
Mailing address
PO Box 1844
Priest River, ID 83856-1844
Phone (208) 946-6963
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT-2854 | ID | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1312243200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1450137600000",
"number": "1376821744",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1844",
"city": "PRIEST RIVER",
"state": "ID",
"postal_code": "838561844",
"telephone_number": "208-946-6963"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "37 HIGHWAY 57",
"city": "PRIEST RIVER",
"state": "ID",
"postal_code": "838566559",
"telephone_number": "208-627-3747"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRICHTL",
"first_name": "DEONNA",
"credential": "M.S.P.T.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-08-02",
"last_updated": "2015-12-15",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "ID",
"license": "PT-2854",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Priest River, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.