Active NPI
Brian Andrew Friscia, MED, ATC
- Athletic Trainer
- Winter Park, FL
National Provider Identifier
1912012386
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 0126000873
- Practice address
- 1000 Holt Ave
Winter Park, FL 32789-4499 - Phone
- (407) 646-2635
- NPI assigned
- Aug 19, 2006
- 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 |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 0126000873 | VA | Primary |
Addresses
Primary practice location
1000 Holt Ave
Winter Park, FL 32789-4499
Mailing address
966 English Town LN Apt 218
Winter Springs, FL 32708-4675
Phone (407) 403-3300
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
- Credentials
- Master of Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0126000873 | VA | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155945600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1912012386",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "966 ENGLISH TOWN LN APT 218",
"city": "WINTER SPRINGS",
"state": "FL",
"postal_code": "327084675",
"telephone_number": "407-403-3300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 HOLT AVE",
"city": "WINTER PARK",
"state": "FL",
"postal_code": "327894499",
"telephone_number": "407-646-2635"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRISCIA",
"first_name": "BRIAN",
"middle_name": "ANDREW",
"credential": "MED, ATC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-19",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "VA",
"license": "0126000873",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Winter Park, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.