Vincent C Frisillo, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

3088 Issued in OK

Practice address

4004 S Yale Ave
Tulsa, OK 74135-6017

Phone

(918) 622-4126

Fax

(918) 270-2398

NPI assigned

Aug 17, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Propel Physical TherapyGroup PAC ID 6103291521, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Propel Physical Therapy

  • Physical Therapist
  • Broken Arrow, OK
  • NPI 1205537719
  Medicare reassignment Care Compare group NPD Authorized official
• Excel Therapy Specialists, LLC

  • Physical Therapist
  • Tulsa, OK
  • NPI 1033277413
  Medicare reassignment NPD
• Excel Therapy Specialists, LLC

  • Physical Therapist
  • Muskogee, OK
  • NPI 1942368329
  NPD
• Redbud Physical Rehabilitation PC

  • Physical Therapist
  • Tulsa, OK
  • NPI 1356339659
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193097600000",
    "number": "1619081858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3756 E 39TH PL",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741352412",
            "telephone_number": "918-742-0642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4004 S YALE AVE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741356017",
            "telephone_number": "918-622-4126",
            "fax_number": "918-270-2398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRISILLO",
        "first_name": "VINCENT",
        "middle_name": "C",
        "name_prefix": "Mr.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-17",
        "last_updated": "2007-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OK",
            "license": "3088",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7644219",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Spencer Mason Friedrich, D.D.S.
• Mark Allen Friemel, RN
• Jonathan D Friend, MD
• Stephanie Y Frink, RN
• Christopher David Frisillo, BS
• Bradley Ryan Fritch
• Holly Fritch, PA-C
• Robin Bevins Frith
• Jamie Lee Fritsch
• Joseph P Fritsch, PHD

• Physical Therapist in Tulsa, OK
• Providers in Tulsa, OK by specialty
• Physical Therapist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2007; 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.