Individual provider Active NPI

Stephanie Marie Frisby, PTA

  • Physical Therapy Assistant
  • Irvine, CA
National Provider Identifier
1427223239
Registry record updated Apr 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
8526 Issued in CA
Practice address
16257 Laguna Canyon Rd Ste 150
Irvine, CA 92618-3615
Phone
(949) 727-2192
NPI assigned
Apr 23, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 23, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 8526 CA Primary

Addresses

Primary practice location

16257 Laguna Canyon Rd Ste 150
Irvine, CA 92618-3615

Mailing address

1231 W Maxzim Ave
Fullerton, CA 92833-4607
Phone (714) 553-2817

Other identifiers 1

IdentifierTypeStateIssuer
8526OtherCAPTA

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)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Advance Occupational & Hand Therapy Center Past Accepting new patients
Par Plus, Inc. Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1208908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208908800000",
    "number": "1427223239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1231 W MAXZIM AVE",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928334607",
            "telephone_number": "714-553-2817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16257 LAGUNA CANYON RD STE 150",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926183615",
            "telephone_number": "949-727-2192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRISBY",
        "first_name": "STEPHANIE",
        "middle_name": "MARIE",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-04-23",
        "last_updated": "2008-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "CA",
            "license": "8526",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTA",
            "identifier": "8526",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Irvine, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2008; 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.