Active NPI
Daniel Frasier, PT
- Physical Therapist
- Mount Airy, MD
National Provider Identifier
1649545377
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 16454
- Practice address
- 504 E Ridgeville Blvd Ste 107
Mount Airy, MD 21771-5942 - Phone
- (301) 829-6811
- Fax
- (301) 829-6623
- NPI assigned
- Mar 13, 2012
- Sex
- Male
- 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 | 16454 | MD | Primary |
Addresses
Primary practice location
504 E Ridgeville Blvd Ste 107
Mount Airy, MD 21771-5942
Mailing address
350 New Fidelity CT
Garner, NC 27529-2665
Phone (919) 258-2714
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD, DC
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16454 | MD | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fox Rehabilitation Services LLC | Physical Therapist | Current | Accepting new patients |
| Fox Rehab PT MD LLC | Physical Therapist | Current | Accepting new patients |
Locations
11665 Doolittle Dr
Waldorf, MD 20602
Phone (301) 638-4100
7 Carnegie Plz
Cherry Hill, NJ 08003
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 and National Provider Directory roles.
-
- Physical Therapist
- Timonium, MD
- NPI 1588901847
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1331596800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1540166400000",
"number": "1649545377",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "350 NEW FIDELITY CT",
"city": "GARNER",
"state": "NC",
"postal_code": "275292665",
"telephone_number": "919-258-2714",
"fax_number": "410-648-4878"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "504 E RIDGEVILLE BLVD STE 107",
"city": "MOUNT AIRY",
"state": "MD",
"postal_code": "217715942",
"telephone_number": "301-829-6811",
"fax_number": "301-829-6623"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRASIER",
"first_name": "DANIEL",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-03-13",
"last_updated": "2018-10-22",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MD",
"license": "16454",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mount Airy, MD
- Norman Franklin Fine, OD
- Foot and Ankle Specialists of the Mid-Atlantic, LLC
- Foot and Ankle Specialists of the Mid-Atlantic, LLC
- Jennifer Rachel Foster, D.D.S.
- Four County Nutrition, Inc
- Frederick Health Hospital Inc
- Frederick Health Hospital Inc
- Frederick Health Medical Group LLC
- Frederick Pediatric Associates P.a.
- Dawn Frick, R.D., L.D.N.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.