Active NPI
Adam Frizzle
- Physical Therapist
- Grand Rapids, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- 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
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 | 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
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
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.
-
- Rehabilitation Clinic/Center
- Louisville, KY
- NPI 1871867325
MI
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.