Active NPI
Mike Frey
- Critical Care Registered Respiratory Therapist
- Fayette, UT
National Provider Identifier
1770495749
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Critical Care Registered Respiratory Therapist
- Practice address
- 210 S 100 E
Fayette, UT 84630-1001 - Phone
- (602) 900-6315
- NPI assigned
- Sep 22, 2026
- Last updated
- Sep 22, 2026
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Critical Care Registered Respiratory Therapist | 2279C0205X | Primary |
Addresses
Primary practice location
210 S 100 E
Fayette, UT 84630-1001
Mailing address
210 S 100 E
Fayette, UT 84630-1001
Phone (602) 900-6315
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)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1790035200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1790035200000",
"number": "1770495749",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "210 S 100 E",
"city": "FAYETTE",
"state": "UT",
"postal_code": "846301001",
"telephone_number": "602-900-6315"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "210 S 100 E",
"city": "FAYETTE",
"state": "UT",
"postal_code": "846301001",
"telephone_number": "602-900-6315"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FREY",
"first_name": "MIKE",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2026-09-22",
"last_updated": "2026-09-22",
"certification_date": "2026-09-22",
"status": "A"
},
"taxonomies": [
{
"code": "2279C0205X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Respiratory Therapist, Registered, Critical Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.