Active NPI
Matthew Frazier, PT, DPT
- Physical Therapist
- Lexington, KY
National Provider Identifier
1891335733
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 007552
- Practice address
- 1165 Monarch St
Lexington, KY 40513-1979 - Phone
- (859) 577-9776
- NPI assigned
- Jan 8, 2020
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 007552 | KY | Primary |
Addresses
Primary practice location
1165 Monarch St
Lexington, KY 40513-1979
Mailing address
504 Willow Ridge CT
Richmond, KY 40475-7867
Phone (859) 358-8239
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
| License | State | Type | Specialty |
|---|---|---|---|
| 007552 | KY | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1578441600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1578441600000",
"number": "1891335733",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "504 WILLOW RIDGE CT",
"city": "RICHMOND",
"state": "KY",
"postal_code": "404757867",
"telephone_number": "859-358-8239"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1165 MONARCH ST",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405131979",
"telephone_number": "859-577-9776"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRAZIER",
"first_name": "MATTHEW",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-01-08",
"last_updated": "2020-01-08",
"certification_date": "2020-01-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "KY",
"license": "007552",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lexington, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.