Individual provider Active NPI

Kevin Froese, DPT

  • Physical Therapist
  • West Hartford, CT
National Provider Identifier
1518410265
Registry record updated Jul 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
11023 Issued in CT
Practice address
29 N Main St
West Hartford, CT 06107-1933
Phone
(860) 561-3960
NPI assigned
Jul 29, 2016
Last updated
Jul 29, 2016By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 29, 2016

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 11023 CT Primary

Addresses

Primary practice location

29 N Main St
West Hartford, CT 06107-1933

Mailing address

29 N Main St
West Hartford, CT 06107-1933
Phone (860) 561-3960

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, SC, WA, NY4 enrollments

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20211018000516 DC Practitioner - Physical Therapist in Private Practice 3476951708 Reassigns benefits to 1 organization
I20220412002766 SC Practitioner - Physical Therapist in Private Practice 3476951708 Reassigns benefits to 1 organization
I20220721003559 WA Practitioner - Physical Therapist in Private Practice 3476951708 Reassigns benefits to 1 organization
I20231024001619 NY Practitioner - Physical Therapist in Private Practice 3476951708 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
Lafrance Physical Therapy PLLCGroup PAC ID 4880080191, 2 clinicians

Practice addresses (Care Compare)

3191 Cole Rd
Eaton, NY 13334-2910
Phone (315) 750-9865

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
28709MDMDSocial Worker
11023CTMDDentist
051244NYMDEndodontist

Practice roles

OrganizationSpecialtyStatusNew patients
Multicare Health System CurrentSince Jun 3, 2022 Accepting new patients
Ati Holdings, LLC Physical Therapist CurrentSince Nov 1, 2021 Accepting new patients
Lafrance Physical Therapy PLLC Physical Therapist CurrentSince Oct 16, 2023 Accepting new patients
Multicare Health System Current Accepting new patients
Greenville Proaxis Therapy, LLC Physical Therapist CurrentSince Feb 7, 2022 Accepting new patients
Multicare Health System Physical Therapist CurrentSince Jun 3, 2022 Accepting new patients
Greenville Proaxis Therapy LLC CurrentSince Feb 7, 2022 Accepting new patients
Ati Holdings, LLC Physical Therapist CurrentSince Nov 1, 2021 Accepting new patients

Locations

790 Remington Blvd
Bolingbrook, IL 60440

33205 Collection Ctr Dr
Chicago, IL 60693

4947 Paysphere Cir
Chicago, IL 60674
Phone (630) 783-2001

11271 New Hampshire Ave
Silver Spring, MD 20904
Phone (240) 485-1280

3191 Cole Rd
Eaton, NY 13334
Phone (315) 684-7866

103 N Main St
Ste 201
Greenville, SC 29601
Phone (864) 528-5753

727 SE Main St
Ste 200
Simpsonville, SC 29681
Phone (864) 454-6670

4700 Point Fosdick Dr
Ste 104
Gig Harbor, WA 98335
Phone (253) 459-7590

222 State Ave N
Kent, WA 98030
Phone (253) 372-7680

8011 112th Street Ct E
Puyallup, WA 98373
Phone (253) 848-0662

Organizations & group practices 8

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": "1469750400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1469750400000",
    "number": "1518410265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 N MAIN ST",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "061071933",
            "telephone_number": "860-561-3960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 N MAIN ST",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "061071933",
            "telephone_number": "860-561-3960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FROESE",
        "first_name": "KEVIN",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-07-29",
        "last_updated": "2016-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CT",
            "license": "11023",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Hartford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2016; 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.