Active NPI
Carson Aris Frohlich, MS
- Speech-Language Pathologist
- Broken Arrow, OK
National Provider Identifier
1821851676
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 5820
- Practice address
- 2100 N Aspen Ave
Broken Arrow, OK 74012-1490 - Phone
- (918) 505-7575
- Fax
- (918) 505-7375
- NPI assigned
- Feb 5, 2024
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 5820 | OK | Primary |
Addresses
Primary practice location
2100 N Aspen Ave
Broken Arrow, OK 74012-1490
Mailing address
1649 S Ash Ave
Broken Arrow, OK 74012-5404
Phone (918) 510-7697
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5820 | OK | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Firefly Pediatric Center, LLC | Speech-Language Pathologist | Current | Accepting new patients |
Organizations & group practices 1
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.
-
- Clinic/Center
- Broken Arrow, OK
- NPI 1932835980
Speech-Language Pathologist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1707091200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1708300800000",
"number": "1821851676",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1649 S ASH AVE",
"city": "BROKEN ARROW",
"state": "OK",
"postal_code": "740125404",
"telephone_number": "918-510-7697"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2100 N ASPEN AVE",
"city": "BROKEN ARROW",
"state": "OK",
"postal_code": "740121490",
"telephone_number": "918-505-7575",
"fax_number": "918-505-7375"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FROHLICH",
"first_name": "CARSON",
"middle_name": "ARIS",
"credential": "MS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-02-05",
"last_updated": "2024-02-19",
"certification_date": "2024-02-19",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "OK",
"license": "5820",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Broken Arrow, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.