Jeffrey Fromdahl, MSPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

4137 Issued in SC

Practice address

1219 West Spring Street
Monroe, GA 30655

Phone

(770) 207-6624

Fax

(770) 207-6631

NPI assigned

Jul 7, 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 2

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.

• Orthosport Physical Therapy, LLC

  • Physical Therapist
  • Hilton Head, SC
  • NPI 1639346547
  NPD (past)

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1288137600000",
    "number": "1760414031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1219 WEST SPRING STREET",
            "city": "MONROE",
            "state": "GA",
            "postal_code": "30655",
            "telephone_number": "770-207-6624",
            "fax_number": "770-207-6631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1219 WEST SPRING STREET",
            "city": "MONROE",
            "state": "GA",
            "postal_code": "30655",
            "telephone_number": "770-207-6624",
            "fax_number": "770-207-6631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FROMDAHL",
        "first_name": "JEFFREY",
        "credential": "MSPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-07",
        "last_updated": "2010-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "4137",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDCOST PROVIDER NUMBER",
            "identifier": "187186",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE NUMBER",
            "identifier": "P00163187",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kelly M Fitzpatrick, DPT
• Foster First Assist
• Amber Foster, FNP-BC
• Casey A Foster, RN, RNFA
• Timothy Norman Frie, MS
• Benita Garner, LPN
• Joel R. Garrison, D.O.
• William Mercer Gary, MD
• Joe Edward Gaskins, M.D.
• Genesis Rehab Services

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2010; 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.