Jason T Frei, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT-1971 Issued in WY

Practice address

2129 Haugen St
Cody, WY 82414-9403

Phone

(970) 310-4524

NPI assigned

Sep 11, 2014

Reactivated

May 10, 2021

Last updated

May 12, 2021By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Cornerstone Physical Therapy, LLC

  • Physical Therapist
  • Cody, WY
  • NPI 1871199141
  NPD Authorized official
• Select Physical Therapy Holdings Inc

  dba Select Physical Therapy

  • Physical Therapy Clinic/Center
  • Englewood, CO
  • NPI 1265401897

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1410393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620777600000",
    "number": "1669873428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2129 HAUGEN ST",
            "city": "CODY",
            "state": "WY",
            "postal_code": "824149403",
            "telephone_number": "970-310-4524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2129 HAUGEN ST",
            "city": "CODY",
            "state": "WY",
            "postal_code": "824149403",
            "telephone_number": "970-310-4524"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2500 E Prospect Rd",
            "address_purpose": "LOCATION",
            "city": "Fort Collins",
            "state": "CO",
            "postal_code": "805259718",
            "country_code": "US",
            "telephone_number": "970-493-0112",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FREI",
        "first_name": "JASON",
        "middle_name": "T",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-09-11",
        "last_updated": "2021-05-12",
        "certification_date": "2021-05-12",
        "deactivation_date": "2021-03-11",
        "reactivation_date": "2021-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WY",
            "license": "PT-1971",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Linsea Diane Ford, D.O.
• Diana Lucile Foster, LPC
• Foundations Counselling, LLC
• Free Your Mind Counseling
• Freedom Chiropractic
• Frontier Infusion LLC
• Frontier Neurohealth
• Frontier Neurosciences, LLC
• Fuel Life, LLC
• Dean Furukawa

• Physical Therapist in Cody, WY
• Providers in Cody, WY by specialty
• Physical Therapist in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.