JOHN MILES FRISVOLD (DPT) – Physical Therapist, NPI 1336230796

JOHN MILES FRISVOLD (DPT) is a healthcare provider. based in Palatka, Florida. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials DPT. They hold a License No. PT21516 (FL). The NPI Number for JOHN MILES FRISVOLD (DPT) is 1336230796

Main info

Male
22 Years Of Experience
Accepts Medicare Assignment
Name
JOHN MILES FRISVOLD (DPT)
NPI
1336230796
Phone
(386) 329-2613
Address
3715 CRILL AVE
Enumeration Date
28 September 2006
Last Update Date
14 March 2008

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3863292613
Graduation Year
2004 (22 years ago)
PAC ID
2668557075
Group Practice PAC ID
6507955689
Professional Enrollment ID
I20080310000566
Address ID
FL321779168PA3715XAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

4,633 PHYSICAL THERAPIST IN PRIVATE PRACTICE in FL

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Provider Addresses for JOHN MILES FRISVOLD (DPT)

  • 3715, Crill Avenue, Palatka, Putnam County, Florida, 32177, United States

    PALATKA, FL 321779168

    Phone: (386) 329-2613

    Fax: (386) 329-2614

    Type: Location

  • 115, East Forest Park Drive, Palatka, Putnam County, Florida, 32177, United States

    PALATKA, FL 321776605

    Phone: (386) 937-5073

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2008-03-10

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20080310000566IPhysical Therapist In Private PracticeFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes2,507203$0
97530Therapy procedure using functional activities2,454209$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes1,361167$0
97162Evaluation for physical therapy, typically 30 minutes157141$0
View full utilization report →

Insurance plans in this area (ZIP 32177)

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Provider's Procedures

JOHN MILES FRISVOLD (DPT) performs procedures in PHYSICAL THERAPIST IN PRIVATE PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICAL THERAPYFL97001Physical therapy evaluation235209

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6507955689View full group profile
NameSpecialtyState
-FL
Physical Therapist In Private PracticeFL

Reviews

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Frequently asked questions

Can I use this page to confirm JOHN MILES FRISVOLD (DPT)'s NPI?
Yes. JOHN MILES FRISVOLD (DPT) is listed with NPI 1336230796 in the public NPI dataset.
Is JOHN MILES FRISVOLD (DPT) still practicing?
JOHN MILES FRISVOLD (DPT) is currently listed as active in the public NPI registry.
What is JOHN MILES FRISVOLD (DPT)'s primary classification?
Physical Therapist is the headline specialty for JOHN MILES FRISVOLD (DPT) here. Clinical services aligned with this taxonomy classification.
Where should I expect JOHN MILES FRISVOLD (DPT) on a map?
Expect Palatka, Florida as a primary anchor for JOHN MILES FRISVOLD (DPT) unless the record lists multiple sites.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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