Active NPI
Jennifer Frick, PT, DPT
- Physical Therapist
- Lake Charles, LA
National Provider Identifier
1669808788
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 08519R
- Practice address
- 1514 Alvin St
Lake Charles, LA 70601 - Phone
- (214) 316-3901
- NPI assigned
- Sep 20, 2013
- Last updated
- Jul 7, 2018
- Sex
- Female
- 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 | 08519R | TX | Primary |
Addresses
Primary practice location
1514 Alvin St
Lake Charles, LA 70601
Mailing address
1514 Alvin St
Lake Charles, LA 70601-5804
Phone (214) 316-3901
Other practice location 1
1727 Imperial Blvd Bldg 3
Lake Charles, LA 70605-5362
Phone (337) 478-5880
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 08519R | TX | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1379635200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1530921600000",
"number": "1669808788",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1514 ALVIN ST",
"city": "LAKE CHARLES",
"state": "LA",
"postal_code": "706015804",
"telephone_number": "214-316-3901"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1514 ALVIN ST",
"city": "LAKE CHARLES",
"state": "LA",
"postal_code": "70601",
"telephone_number": "214-316-3901"
}
],
"practiceLocations": [
{
"address_1": "1727 Imperial Blvd Bldg 3",
"address_purpose": "LOCATION",
"city": "Lake Charles",
"state": "LA",
"postal_code": "706055362",
"country_code": "US",
"telephone_number": "337-478-5880",
"fax_number": "337-478-5879",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FRICK",
"first_name": "JENNIFER",
"credential": "PT, DPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-09-20",
"last_updated": "2018-07-07",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "08519R",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lake Charles, LA
- Robin Denise Freeman
- Logan Lynn Frelot, MASSAGE THERAPIST
- Carolyn Frelow
- Fresenius Medical Care Lake Charles Home, LLC (Fresenius Kidney Care Lake Charles Home)
- Jane Louise Freudenberger
- Tiffani Frizzell, MS, LAT, PES, ATC
- Frontier Hospitals, Inc.
- Bonnie Ruth Fruge, CFNP
- Diane Gail Fruge, RAC
- Dianna Flowers Fruge, LCSW
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.