John Leo Fries, M.P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT0125658L Issued in PA

Practice address

2032 E Pleasant Valley Blvd
Suite 2
Altoona, PA 16602-7515

Phone

(814) 944-8264

Fax

(814) 944-7904

NPI assigned

Sep 28, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Weaver Physical Therapy, LLC

  • Physical Therapist
  • Latrobe, PA
  • NPI 1760427066
  NPD (past)

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1700978814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 PHILADELPHIA ST",
            "city": "INDIANA",
            "state": "PA",
            "postal_code": "157013902",
            "telephone_number": "724-463-7478",
            "fax_number": "724-463-0931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2032 E PLEASANT VALLEY BLVD",
            "address_2": "SUITE 2",
            "city": "ALTOONA",
            "state": "PA",
            "postal_code": "166027515",
            "telephone_number": "814-944-8264",
            "fax_number": "814-944-7904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRIES",
        "first_name": "JOHN",
        "middle_name": "LEO",
        "credential": "M.P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT0125658L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH AMER/HEALTH ASSUR.",
            "identifier": "236913",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7367223",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD",
            "identifier": "00586045",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anna Florence Frew, RN
• Jacqueline Carol Frew, RPH
• Allison Friday, BS
• Susan E. Friedenberger, L.P.C.
• Jennifer Lynn Friedl, PHARM D
• Anne Marie Frioli, LSW
• Marko J Frola, CRNA
• Mary Chirdon Frontino, LCSW
• Bruce Frost
• Gregory John Fulchiero Jr., M.D., M.S.

• Physical Therapist in Altoona, PA
• Providers in Altoona, PA by specialty
• Physical Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.