Candace Amber Frazier, P.T., D.P.T

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT009218 Issued in GA

Practice address

4579 South Cobb Dr
Ste 100
Smyrna, GA 30080-6945

Phone

(770) 436-3665

NPI assigned

Oct 9, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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.

• Physiotherapy Associates Inc

  • Physical Therapy Clinic/Center
  • Lilburn, GA
  • NPI 1760568257
  Medicare reassignment NPD
• Physiotherapy Associates Inc

  • Physical Therapy Clinic/Center
  • Estero, FL
  • NPI 1720039902
  NPD

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

{
    "created_epoch": "1191888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1359504000000",
    "number": "1669660387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4579 SOUTH COBB DR",
            "address_2": "STE 100",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300806945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4579 SOUTH COBB DR",
            "address_2": "STE 100",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300806945",
            "telephone_number": "770-436-3665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRAZIER",
        "first_name": "CANDACE",
        "middle_name": "AMBER",
        "name_prefix": "Mrs.",
        "credential": "P.T., D.P.T",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-09",
        "last_updated": "2013-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT009218",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marilyn Foreman, MD
• Fountain Bridge Services, LLC
• Misty Vanlandingham Fountain, CCC-SLP
• Tyneasha Fountain
• Andrea Ann Marie Francis, PH.D., LPC
• Aynastee Monae Frederick
• Paul Micah Friddle, M.S., BCBA
• Melina Friedman, O.D.
• Jessie D Gall, MS, RD, LD
• Rebecca Clegg Galla, LPC

• Physical Therapist in Smyrna, GA
• Providers in Smyrna, GA by specialty
• Physical Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2013; 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.

Verify at the official NPI Registry.