Individual provider Active NPI

Debra Dee Fritz, PT

  • Physical Therapist
  • Sigourney, IA
National Provider Identifier
1477053619
Registry record updated Oct 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
01659 Issued in IA
Practice address
119 S Jefferson St
Sigourney, IA 52591-1541
Phone
(641) 224-2190
Fax
(641) 632-2118
NPI assigned
Feb 14, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2021

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 01659 IA Primary

Addresses

Primary practice location

119 S Jefferson St
Sigourney, IA 52591-1541

Mailing address

119 S Jefferson St
Sigourney, IA 52591-1541
Phone (641) 224-2190

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211102002572 IA Practitioner - Physical Therapist in Private Practice 8628475100 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

119 S Jefferson St
Sigourney, IA 52591-1541
Phone (641) 224-2190

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Chip Physical Therapy LLC Physical Therapist CurrentSince Oct 1, 2021 Accepting new patients
2ND Street Clinic PastSince Oct 1, 2021 Accepting new patients

Locations

119 S Jefferson St
Sigourney, IA 52591
Phone (641) 224-2190

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": "1518566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633564800000",
    "number": "1477053619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 S JEFFERSON ST",
            "city": "SIGOURNEY",
            "state": "IA",
            "postal_code": "525911541",
            "telephone_number": "641-224-2190",
            "fax_number": "641-632-2118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 S JEFFERSON ST",
            "city": "SIGOURNEY",
            "state": "IA",
            "postal_code": "525911541",
            "telephone_number": "641-224-2190",
            "fax_number": "641-632-2118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRITZ",
        "first_name": "DEBRA",
        "middle_name": "DEE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-14",
        "last_updated": "2021-10-07",
        "certification_date": "2021-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IA",
            "license": "01659",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sigourney, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2021; 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.