Active NPI
Andrea H. Frock, M.S., P.T.
- Physical Therapist
- Timonium, MD
National Provider Identifier
1467775106
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 17207
- Practice address
- 104 Brookridge CT
Timonium, MD 21093-3429 - Phone
- (443) 465-1941
- Fax
- (410) 252-1976
- NPI assigned
- Mar 9, 2010
- 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 | 17207 | MD | Primary |
Addresses
Primary practice location
104 Brookridge CT
Timonium, MD 21093-3429
Mailing address
104 Brookridge CT
Timonium, MD 21093-3429
Phone (443) 465-1941
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 17207 | Other | MD | PHYSICAL THERAPY LICENSE |
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17207 | MD | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1268092800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1268092800000",
"number": "1467775106",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "104 BROOKRIDGE CT",
"city": "TIMONIUM",
"state": "MD",
"postal_code": "210933429",
"telephone_number": "443-465-1941",
"fax_number": "410-252-1976"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "104 BROOKRIDGE CT",
"city": "TIMONIUM",
"state": "MD",
"postal_code": "210933429",
"telephone_number": "443-465-1941",
"fax_number": "410-252-1976"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FROCK",
"first_name": "ANDREA",
"middle_name": "H.",
"name_prefix": "Ms.",
"credential": "M.S., P.T.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-03-09",
"last_updated": "2010-03-09",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MD",
"license": "17207",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHYSICAL THERAPY LICENSE",
"identifier": "17207",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}Other providers in Timonium, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.