NPIMap

Organization Active NPI

Melissa Frandsen, MD, LLC

  • Physical Medicine & Rehabilitation Physician
  • Broken Arrow, OK
National Provider Identifier
1912388182
Registry record updated Jul 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
24616 Issued in OK
Legal business name
MELISSA FRANDSEN, MD, LLC
Practice address
1200 W Albany Dr
Rehabilitation Unit
Broken Arrow, OK 74012-8146
Phone
(918) 615-6581
Fax
(918) 893-1242
NPI assigned
Jun 14, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2022

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

Authorized official

Name
Melissa Frandsen, MDNPI 1629115464
Title
Owner
Phone
(847) 217-9752

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208100000X 24616 OK Primary

Addresses

Primary practice location

1200 W Albany Dr
Rehabilitation Unit
Broken Arrow, OK 74012-8146

Mailing address

11063-D S. Memorial Dr.
PMB 212
Tulsa, OK 74133
Phone (847) 217-9752

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1434240000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657065600000",
    "number": "1912388182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11063-D S. MEMORIAL DR.",
            "address_2": "PMB 212",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "74133",
            "telephone_number": "847-217-9752",
            "fax_number": "918-957-3395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 W ALBANY DR",
            "address_2": "REHABILITATION UNIT",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740128146",
            "telephone_number": "918-615-6581",
            "fax_number": "918-893-1242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MELISSA FRANDSEN, MD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-14",
        "last_updated": "2022-07-06",
        "certification_date": "2020-09-16",
        "status": "A",
        "authorized_official_last_name": "FRANDSEN",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "847-217-9752",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "OK",
            "license": "24616",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Broken Arrow, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2022; 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.