Individual provider Active NPI

Nicholas J Froiseth, DPT

  • Physical Therapist
  • Wilmington, NC
National Provider Identifier
1417405879
Registry record updated Oct 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
P21420 Issued in NC
Practice address
5710 Oleander Dr Ste 102
Wilmington, NC 28403-4723
Phone
(910) 398-6301
Fax
(910) 398-6305
NPI assigned
Sep 14, 2016
Last updated
Oct 10, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 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 P21420 NC Primary

Addresses

Primary practice location

5710 Oleander Dr Ste 102
Wilmington, NC 28403-4723

Mailing address

5710 Oleander Dr Ste 102
Wilmington, NC 28403-4723
Phone (910) 398-6301

Other practice location 1

497 Olde Waterford Way Ste 102
Belville, NC 28451-4183
Phone (910) 444-1548

Other practice location 2

14057 Highway 17 N
Suite 230
hampstead, NC 28443
Phone (910) 821-3377

Other practice location 3

2250 Shipyard Blvd Ste 14
Wilmington, NC 28403-8070
Phone (910) 518-9951

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221202002524 NC Practitioner - Physical Therapist in Private Practice 1557641651 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Zumbro and Connell IncGroup PAC ID 5698852499, 39 clinicians

Practice addresses (Care Compare)

5710 Oleander Dr
Suite 211
Wilmington, NC 28403-4722
Phone (910) 398-6301

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
P21420NCMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Zumbro and Connell, Inc Physical Therapist CurrentSince Sep 7, 2022 Accepting new patients

Locations

497 Olde Waterford Way
Ste 102
Belville, NC 28451
Phone (910) 444-1548

2250 Shipyard Blvd
Ste 14
Wilmington, NC 28403
Phone (910) 518-9951

5710 Oleander Dr
Ste 211
Wilmington, NC 28403
Phone (910) 398-6301

Organizations & group practices 1

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": "1473811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760054400000",
    "number": "1417405879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5710 OLEANDER DR STE 102",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284034723",
            "telephone_number": "910-398-6301",
            "fax_number": "910-398-6305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5710 OLEANDER DR STE 102",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284034723",
            "telephone_number": "910-398-6301",
            "fax_number": "910-398-6305"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "497 Olde Waterford Way Ste 102",
            "address_purpose": "LOCATION",
            "city": "Belville",
            "state": "NC",
            "postal_code": "284514183",
            "country_code": "US",
            "telephone_number": "910-444-1548",
            "fax_number": "910-444-1466",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "14057 Highway 17 N",
            "address_2": "Suite 230",
            "address_purpose": "LOCATION",
            "city": "hampstead",
            "state": "NC",
            "postal_code": "28443",
            "country_code": "US",
            "telephone_number": "910-821-3377",
            "fax_number": "910-821-3380",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2250 Shipyard Blvd Ste 14",
            "address_purpose": "LOCATION",
            "city": "Wilmington",
            "state": "NC",
            "postal_code": "284038070",
            "country_code": "US",
            "telephone_number": "910-518-9951",
            "fax_number": "910-597-9520",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FROISETH",
        "first_name": "NICHOLAS",
        "middle_name": "J",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-09-14",
        "last_updated": "2025-10-10",
        "certification_date": "2025-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P21420",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 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.