Active NPI
Derek James Frantz, PT, DPT
- Physical Therapist
- Damascus, MD
National Provider Identifier
1417353624
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 25284
- Practice address
- 9815 Main Street
Suite 206
Damascus, MD 20872 - Phone
- (301) 253-6761
- Fax
- (301) 253-6762
- NPI assigned
- Nov 15, 2014
- Last updated
- Sep 4, 2015
- Sex
- Male
- Sole proprietor
- No
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 | 25284 | MD | Primary |
Addresses
Primary practice location
9815 Main Street
Suite 206
Damascus, MD 20872
Mailing address
7310 Ritchie Hwy 500
Glen Burnie, MD 21061-3099
Phone (410) 766-4047
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 |
|---|---|---|---|
| 25284 | MD | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1416009600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1441324800000",
"number": "1417353624",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7310 RITCHIE HWY 500",
"city": "GLEN BURNIE",
"state": "MD",
"postal_code": "210613099",
"telephone_number": "410-766-4047"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9815 MAIN STREET",
"address_2": "SUITE 206",
"city": "DAMASCUS",
"state": "MD",
"postal_code": "20872",
"telephone_number": "301-253-6761",
"fax_number": "301-253-6762"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRANTZ",
"first_name": "DEREK",
"middle_name": "JAMES",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-11-15",
"last_updated": "2015-09-04",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MD",
"license": "25284",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Damascus, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 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.