Frye Sports Medicine LLC

Primary specialty

Sports Physical TherapistTaxonomy code 2251S0007X

Legal business name

FRYE SPORTS MEDICINE LLC

Practice address

2100 N Ronald Reagan Blvd Ste 1060
Longwood, FL 32750-3530

Phone

(386) 290-7765

NPI assigned

Sep 19, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Greg Frye, PT, DPT, SCS

Title

Owner/Physical Therapist

Phone

(386) 290-7765

Specialties & licenses 2

Addresses

Other names 1

• Premier Performance and Physical Therapy Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Gregory Scott Frye II, PT, DPT

  • Physical Therapist
  • Longwood, FL
  • NPI 1093230427
  Medicare reassignment NPD
• Fahim Dhalla

  • Physical Therapist
  • Longwood, FL
  • NPI 1588358964
  NPD
• Kathryn Marie Kinsel, PT, DPT

  • Physical Therapist
  • Longwood, FL
  • NPI 1316544190
  NPD
• Kaitlyn Steckel, PT, DPT

  • Physical Therapist
  • Longwood, FL
  • NPI 1730833450
  NPD
• Jordan Ingalsbe

  • Physical Therapist
  • Maitland, FL
  • NPI 1386310175
  NPD (past)

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

{
    "created_epoch": "1568851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1568851200000",
    "number": "1992355093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 LA CREEK CT",
            "city": "DEBARY",
            "state": "FL",
            "postal_code": "327134523",
            "telephone_number": "386-290-7765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 N RONALD REAGAN BLVD STE 1060",
            "city": "LONGWOOD",
            "state": "FL",
            "postal_code": "327503530",
            "telephone_number": "386-290-7765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRYE SPORTS MEDICINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-19",
        "last_updated": "2019-09-19",
        "status": "A",
        "authorized_official_last_name": "FRYE",
        "authorized_official_first_name": "GREG",
        "authorized_official_title_or_position": "OWNER/PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "386-290-7765",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT, DPT, SCS"
    },
    "taxonomies": [
        {
            "code": "2251S0007X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist, Sports",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Premier Performance and Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Brianna Franklin-Ross
• Ilya V Freyman, DMD
• Joanna Frisbie, MSPT
• Stephany Fritz
• Susan W Frost, RPH
• Gregory Scott Frye II, PT, DPT
• Hannah Alyse Frye
• FST Behavioral
• Cynthia Fuge-Brink, MA CCC-SLP
• Adrian K Fuller Jr., M.S., ED.S

• Sports Physical Therapist in Longwood, FL
• Providers in Longwood, FL by specialty
• Sports Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2019; 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.

Verify at the official NPI Registry.