Individual provider Active NPI

Adam Frizzle

  • Physical Therapist
  • Grand Rapids, MI
National Provider Identifier
1639872690
Registry record updated Mar 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
1225 Spaulding Ave SE
Grand Rapids, MI 49546-6304
Phone
(644) 061-6328
NPI assigned
Mar 27, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 27, 2023

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 Primary

Addresses

Primary practice location

1225 Spaulding Ave SE
Grand Rapids, MI 49546-6304

Mailing address

1225 Spaulding Ave SE
Grand Rapids, MI 49546-6304

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240626002773 MI Practitioner - Physical Therapist in Private Practice 4385188770 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Paragon Outpatient Rehabilitation Services LLCGroup PAC ID 8022272848, 199 clinicians

Practice addresses (Care Compare)

1147 S 3Rd St C/O Brentwood at Niles
Synchrony Rehab
Niles, MI 49120-3472
Phone (269) 605-0170

2420 Coit Ave NE C/O the Cortland Ri
Gardenssynchrony Rehab
Grand Rapids, MI 49505-4001
Phone (269) 259-6071

2708 Meyer Ave SW C/O the Cortlan
Wyoming Synchrony Rehab
Wyoming, MI 49519-2333
Phone (269) 259-6560

445 104TH Ave
Holland, MI 49423-9107
Phone (269) 569-6487

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Organizations & group practices 1

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": "1679875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679875200000",
    "number": "1639872690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1225 SPAULDING AVE SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495466304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1225 SPAULDING AVE SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495466304",
            "telephone_number": "644-061-6328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRIZZLE",
        "first_name": "ADAM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-03-27",
        "last_updated": "2023-03-27",
        "certification_date": "2023-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Rapids, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2023; 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.