Individual provider Active NPI

Jonah Joseph Frost, M.S. PT

  • Specialist
  • Bonita Springs, FL
National Provider Identifier
1932336633
Registry record updated Jun 19, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
PT 32194 Issued in CA
Practice address
9395 Pennsylvania Ave
Unit 31
Bonita Springs, FL 34135-3502
Phone
(323) 704-6020
NPI assigned
Jun 19, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 19, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X PT 32194 CA Primary

Addresses

Primary practice location

9395 Pennsylvania Ave
Unit 31
Bonita Springs, FL 34135-3502

Mailing address

9395 Pennsylvania Ave
Unit 31
Bonita Springs, FL 34135-3502

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 Science

State licenses

LicenseStateTypeSpecialty
PT 32194CAMDSpecialist

NPI Registry JSON

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

{
    "created_epoch": "1245369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1245369600000",
    "number": "1932336633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9395 PENNSYLVANIA AVE",
            "address_2": "UNIT 31",
            "city": "BONITA SPRINGS",
            "state": "FL",
            "postal_code": "341353502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9395 PENNSYLVANIA AVE",
            "address_2": "UNIT 31",
            "city": "BONITA SPRINGS",
            "state": "FL",
            "postal_code": "341353502",
            "telephone_number": "323-704-6020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FROST",
        "first_name": "JONAH",
        "middle_name": "JOSEPH",
        "credential": "M.S. PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-06-19",
        "last_updated": "2009-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "PT 32194",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bonita Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2009; 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.