Active NPI
Kelsey Lynn Frost, DPT
- Physical Therapist
- Fremont, CA
National Provider Identifier
1609483270
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT297962
- Practice address
- 39350 Civic Center Dr Ste 300
Fremont, CA 94538-2331 - Phone
- (510) 797-3933
- NPI assigned
- Sep 28, 2020
- Sex
- Female
- Sole proprietor
- No
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 | PT297962 | CA | Primary |
Addresses
Primary practice location
39350 Civic Center Dr Ste 300
Fremont, CA 94538-2331
Mailing address
39350 Civic Center Dr Ste 300
Fremont, CA 94538-2331
Phone (510) 797-3933
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jeanettes@mportho.com | Mission Peak Orthopaedic Medical Group, Inc |
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
| License | State | Type | Specialty |
|---|---|---|---|
| PT297962 | CA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1601251200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1625011200000",
"number": "1609483270",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "39350 CIVIC CENTER DR STE 300",
"city": "FREMONT",
"state": "CA",
"postal_code": "945382331",
"telephone_number": "510-797-3933"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "39350 CIVIC CENTER DR STE 300",
"city": "FREMONT",
"state": "CA",
"postal_code": "945382331",
"telephone_number": "510-797-3933"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FROST",
"first_name": "KELSEY",
"middle_name": "LYNN",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-09-28",
"last_updated": "2021-06-30",
"certification_date": "2021-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "PT297962",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jeanettes@mportho.com",
"affiliation": "Y",
"affiliationName": "Mission Peak Orthopaedic Medical Group, Inc",
"address_1": "39350 Civic Center Dr Ste 300",
"city": "Fremont",
"state": "CA",
"country_code": "US",
"postal_code": "945382331",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Fremont, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.