Barry Frizzell, LAT, ATC, PTA, CSCS
Specialist/Technologist, Athletic Trainer in Tyler, TX. Individual provider (NPI-1).
NPI number1497208656
StatusActive
Last updated in NPPESJan 7, 2020
Details
- NPI
- 1497208656
- Entity type
- Individual (NPI-1)
- Name
- Barry Frizzell
- Credential
- LAT, ATC, PTA, CSCS
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 24, 2016
- Certification date
- Jan 7, 2020
- Last updated
- Jan 7, 2020
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2255A2300X | Specialist/Technologist, Athletic Trainer | AT1480 | TX | Yes |
| 225200000X | Physical Therapy Assistant | 2062368 | TX |
Practice location
701 Olympic Plaza CirTyler, TX 75701-1950
Phone 903-596-3118 · Fax 903-596-3122
Mailing address
701 Olympic Plaza CirTyler, TX 75701-1950
Phone 903-596-3118 · Fax 903-596-3122
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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