Provider Demographics
NPI:1578029930
Name:FOX, FRANK SWEENEY (PT, DPT)
Entity Type:Individual
Prefix:DR
First Name:FRANK
Middle Name:SWEENEY
Last Name:FOX
Suffix:
Gender:M
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1911 CANTERBURY ST UNIT 2
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78702-5506
Mailing Address - Country:US
Mailing Address - Phone:315-380-0449
Mailing Address - Fax:
Practice Address - Street 1:1911 CANTERBURY ST UNIT 2
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78702-5506
Practice Address - Country:US
Practice Address - Phone:315-380-0449
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-02-11
Last Update Date:2020-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPT295538225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist