Provider Demographics
NPI:1013704626
Name:FROST, COURTNEY JENE (PT, DPT)
Entity type:Individual
Prefix:DR
First Name:COURTNEY
Middle Name:JENE
Last Name:FROST
Suffix:
Gender:
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 1:7601 SW 7TH PL
Mailing Address - Street 2:
Mailing Address - City:NORTH LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33068-1312
Mailing Address - Country:US
Mailing Address - Phone:786-399-8738
Mailing Address - Fax:
Practice Address - Street 1:7601 SW 7TH PL
Practice Address - Street 2:
Practice Address - City:NORTH LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33068-1312
Practice Address - Country:US
Practice Address - Phone:786-399-8738
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-24
Last Update Date:2025-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT41285225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist