Individual provider Active NPI

Christina Chandra Frohlich, D.P.T.

  • Physical Therapist
  • Zephyr Cove, NV
National Provider Identifier
1811274079
Registry record updated Jan 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
38239 Issued in CA
Practice address
212 Elks Point Rd Unit 332
Zephyr Cove, NV 89448-8016
Phone
(530) 541-7133
Fax
(530) 725-4500
NPI assigned
Nov 15, 2011
Last updated
Jan 4, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 4448 NV
Physical Therapist 225100000X 38239 CA Primary

Addresses

Primary practice location

212 Elks Point Rd Unit 332
Zephyr Cove, NV 89448-8016

Mailing address

459 S China Lake Blvd Ste H
Ridgecrest, CA 93555-4685
Phone (909) 362-1196

Other practice location 1

2877 Lake Tahoe Blvd Ste D
South Lake Tahoe, CA 96150-7807
Phone (530) 314-3249

Other practice location 2

459 S China Lake Blvd Ste H
Ridgecrest, CA 93555-4685
Phone (909) 362-1196

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210607002817 NV Practitioner - Physical Therapist in Private Practice 7113187378 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

212 Elks Point Rd
Unit 332
Zephyr Cove, NV 89448-8016
Phone (530) 541-7133

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
38239CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Mind Body Physical Therapy PC Physical Therapist CurrentSince Feb 1, 2021 Accepting new patients

Locations

212 Elks Point Rd
Unit 332
Zephyr Cove, NV 89448
Phone (530) 541-7133

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1321315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672790400000",
    "number": "1811274079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "459 S CHINA LAKE BLVD STE H",
            "city": "RIDGECREST",
            "state": "CA",
            "postal_code": "935554685",
            "telephone_number": "909-362-1196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 ELKS POINT RD UNIT 332",
            "city": "ZEPHYR COVE",
            "state": "NV",
            "postal_code": "894488016",
            "telephone_number": "530-541-7133",
            "fax_number": "530-725-4500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2877 Lake Tahoe Blvd Ste D",
            "address_purpose": "LOCATION",
            "city": "South Lake Tahoe",
            "state": "CA",
            "postal_code": "961507807",
            "country_code": "US",
            "telephone_number": "530-314-3249",
            "fax_number": "760-264-4405",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "459 S China Lake Blvd Ste H",
            "address_purpose": "LOCATION",
            "city": "Ridgecrest",
            "state": "CA",
            "postal_code": "935554685",
            "country_code": "US",
            "telephone_number": "909-362-1196",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FROHLICH",
        "first_name": "CHRISTINA",
        "middle_name": "CHANDRA",
        "credential": "D.P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-11-15",
        "last_updated": "2023-01-04",
        "certification_date": "2022-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NV",
            "license": "4448",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "38239",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Zephyr Cove, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.