Active NPI
Jason Frye, P.T.
- Physical Therapist
- Morrison, CO
National Provider Identifier
1891956173
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 6465
- Practice address
- 9603 Pine Springs Dr
Morrison, CO 80465-2300 - Phone
- (303) 489-4957
- NPI assigned
- Jun 19, 2008
- Last updated
- Jan 10, 2024
- Sex
- Male
- Sole proprietor
- Yes
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 | 6465 | CO | Primary |
Addresses
Primary practice location
9603 Pine Springs Dr
Morrison, CO 80465-2300
Mailing address
9603 Pine Springs Dr
Morrison, CO 80465-2300
Phone (303) 489-4957
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 74024060 | Medicaid | CO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20091208000249 | CO | Practitioner - Physical Therapist in Private Practice | 4082753835 | Practice locations: Morrison, CO |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6465 | CO | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pine Springs Therapy Services | Physical Therapist | Past | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Rehabilitation Practitioner
- Morrison, CO
- NPI 1295950491
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1213833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1704844800000",
"number": "1891956173",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9603 PINE SPRINGS DR",
"city": "MORRISON",
"state": "CO",
"postal_code": "804652300",
"telephone_number": "303-489-4957"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9603 PINE SPRINGS DR",
"city": "MORRISON",
"state": "CO",
"postal_code": "804652300",
"telephone_number": "303-489-4957"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRYE",
"first_name": "JASON",
"credential": "P.T.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-06-19",
"last_updated": "2024-01-10",
"certification_date": "2024-01-10",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CO",
"license": "6465",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "74024060",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Morrison, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.