Individual provider Active NPI

Bryan D Frapp, PT, DPT

  • Physical Therapist
  • Soldotna, AK
National Provider Identifier
1669726220
Registry record updated Oct 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PHYP2565 Issued in AK
Practice address
35249 Kenai Spur Hwy
Suite C
Soldotna, AK 99669-7623
Phone
(806) 392-1773
NPI assigned
Nov 5, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 29, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 1218588 TX
Physical Therapist 225100000X PHYP2565 AK Primary

Addresses

Primary practice location

35249 Kenai Spur Hwy
Suite C
Soldotna, AK 99669-7623

Mailing address

35249 Kenai Spur Hwy
Suite C
Soldotna, AK 99669-7623
Phone (806) 392-1773

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161212001496 AK Practitioner - Physical Therapist in Private Practice 0042590945 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Revolution Sport and Spine Therapy LLCGroup PAC ID 6507146412, 19 clinicians

Practice addresses (Care Compare)

35249 Kenai Spur Hwy
Suite C
Soldotna, AK 99669-7673
Phone (907) 420-0836

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PHYP2565AKMDPhysical Therapist
1218588TXMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Borealis Chiropractic Inc CurrentSince Dec 22, 2020 Accepting new patients
Revolution Sport & Spine Therapy LLC Physical Therapist CurrentSince Jan 9, 2017 Accepting new patients

Locations

35249 Kenai Spur Hwy
Ste C
Soldotna, AK 99669
Phone (907) 420-0836

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.

NPI Registry JSON

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

{
    "created_epoch": "1352073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477699200000",
    "number": "1669726220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35249 KENAI SPUR HWY",
            "address_2": "SUITE C",
            "city": "SOLDOTNA",
            "state": "AK",
            "postal_code": "996697623",
            "telephone_number": "806-392-1773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35249 KENAI SPUR HWY",
            "address_2": "SUITE C",
            "city": "SOLDOTNA",
            "state": "AK",
            "postal_code": "996697623",
            "telephone_number": "806-392-1773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRAPP",
        "first_name": "BRYAN",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-11-05",
        "last_updated": "2016-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1218588",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AK",
            "license": "PHYP2565",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Soldotna, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2016; 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.