Individual provider Active NPI

Eric Frisque, PTA

  • Physical Therapy Assistant
  • Tomahawk, WI
National Provider Identifier
1861951394
Registry record updated Mar 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
2715-19 Issued in WI
Practice address
428 N 6TH St
Tomahawk, WI 54487-1425
Phone
(715) 453-2511
NPI assigned
Mar 14, 2019
Last updated
Mar 14, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 2715-19 WI Primary

Addresses

Primary practice location

428 N 6TH St
Tomahawk, WI 54487-1425

Mailing address

465 W Leather Ave Apt 1
Tomahawk, WI 54487-2270
Phone (920) 569-9497

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address eric.frisque@aegistherapies.com Direct

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

State licenses

LicenseStateTypeSpecialty
2715-19WIMDPhysical Therapy Assistant

Interoperability endpoints

  • Direct secure messaging: eric.frisque@aegistherapies.com

NPI Registry JSON

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

{
    "created_epoch": "1552521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552521600000",
    "number": "1861951394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "465 W LEATHER AVE APT 1",
            "city": "TOMAHAWK",
            "state": "WI",
            "postal_code": "544872270",
            "telephone_number": "920-569-9497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "428 N 6TH ST",
            "city": "TOMAHAWK",
            "state": "WI",
            "postal_code": "544871425",
            "telephone_number": "715-453-2511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRISQUE",
        "first_name": "ERIC",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-03-14",
        "last_updated": "2019-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "WI",
            "license": "2715-19",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "eric.frisque@aegistherapies.com",
            "affiliation": "N",
            "endpointDescription": "Work email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "428 N 6th St",
            "city": "Tomahawk",
            "state": "WI",
            "country_code": "US",
            "postal_code": "544871425",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Tomahawk, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2019; 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.