Individual provider Active NPI

Cynthia J. Frank, PT

  • Physical Therapist
  • Farmington, NM
National Provider Identifier
1528216074
Registry record updated Jul 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
3468 Issued in NM
Practice address
3832 E Main St
Units E & F
Farmington, NM 87402-8749
Phone
(505) 564-2955
Fax
(505) 564-2662
NPI assigned
Sep 8, 2008
Last updated
Jul 24, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2012

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 3468 NM Primary

Addresses

Primary practice location

3832 E Main St
Units E & F
Farmington, NM 87402-8749

Mailing address

3832 E Main St
Units E & F
Farmington, NM 87402-8749
Phone (505) 564-2955

Other names 1

  • Cynthia J. John Former name

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
3468NMMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Four Corners Physical Therapy Limited Partnership Physical Therapist Past Accepting new patients
DHHS, PHS, Naihs, Shiprock Hospital 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, 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": "1220832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343088000000",
    "number": "1528216074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3832 E MAIN ST",
            "address_2": "UNITS E & F",
            "city": "FARMINGTON",
            "state": "NM",
            "postal_code": "874028749",
            "telephone_number": "505-564-2955",
            "fax_number": "505-564-2662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3832 E MAIN ST",
            "address_2": "UNITS E & F",
            "city": "FARMINGTON",
            "state": "NM",
            "postal_code": "874028749",
            "telephone_number": "505-564-2955",
            "fax_number": "505-564-2662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRANK",
        "first_name": "CYNTHIA",
        "middle_name": "J.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-08",
        "last_updated": "2012-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NM",
            "license": "3468",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CYNTHIA",
            "last_name": "JOHN",
            "middle_name": "J.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Farmington, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2012; 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.