Individual provider Active NPI

Cory Jeffries Frehner, MSPT

  • Physical Therapist
  • Bakersfield, CA
National Provider Identifier
1902831191
Registry record updated May 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
28904 Issued in CA
Practice address
3500 Coffee Rd Ste a
Bakersfield, CA 93308-5001
Phone
(661) 589-6700
Fax
(661) 589-6702
NPI assigned
Jul 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 3, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 28904 CA Primary

Addresses

Primary practice location

3500 Coffee Rd Ste a
Bakersfield, CA 93308-5001

Mailing address

4300 Stine Rd, Suite 108
Bakersfield, CA 93313-9352
Phone (661) 834-2300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100407000002 CA Practitioner - Physical Therapist in Private Practice 1456249705 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

4300 Stine Rd
Suite 108
Bakersfield, CA 93313-2352
Phone (661) 834-2300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
28904CAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Bakersfield Sports Medicine and Rehabilitative Physical Therapy Inc Physical Therapist CurrentSince Aug 14, 2003 Accepting new patients

Locations

4300 Stine Rd
Ste 108
Bakersfield, CA 93313
Phone (661) 834-2300

3500 Coffee Rd
Ste A
Bakersfield, CA 93308
Phone (661) 589-6700

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.

NPI Registry JSON

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1367539200000",
    "number": "1902831191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4300 STINE RD, SUITE 108",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933139352",
            "telephone_number": "661-834-2300",
            "fax_number": "661-834-2635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3500 COFFEE RD STE A",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933085001",
            "telephone_number": "661-589-6700",
            "fax_number": "661-589-6702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREHNER",
        "first_name": "CORY",
        "middle_name": "JEFFRIES",
        "name_prefix": "Mr.",
        "credential": "MSPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-12",
        "last_updated": "2013-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "28904",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bakersfield, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.