Ryan Frezza

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA 26279 Issued in FL

Practice address

520 Palm Coast Pkwy SW
Palm Coast, FL 32137-4742

Phone

(386) 446-4101

Fax

(386) 447-2161

NPI assigned

Dec 28, 2015

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1451260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1451260800000",
    "number": "1891150447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 RIVERVIEW PLACE",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "32165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 PALM COAST PKWY SW",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321374742",
            "telephone_number": "386-446-4101",
            "fax_number": "386-447-2161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREZZA",
        "first_name": "RYAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-12-28",
        "last_updated": "2015-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "FL",
            "license": "PTA 26279",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Frederick A Fox, DDS
• Joanne Sharon Francis, MD
• Linsey Monique Franco
• Jason Stanley Frederick, M.D.
• Eric William Freiler, DPM
• Florence Robert Fruehan, DO
• Kristen Ann Fuentes, HAS
• Sara Fulkerson
• Richard Sean Fulmer, LMT, CPT
• Aislynn Christine Fulton, M.A.

• Physical Therapy Assistant in Palm Coast, FL
• Providers in Palm Coast, FL by specialty
• Physical Therapy Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2015; 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.