MS. NADINE ROSE DE FREITAS (NPI# 1508917758) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508917758 |
| Entity Type | Individual |
| Full Name | MS. NADINE ROSE DE FREITAS |
| Other Name | MRS. NADINE ROSE QUEEN |
| Credential | PT, ATC |
| Practice Address |
220 N Sykes Creek Pkwy Suite 200 Merritt Island FL 32953-3490 |
| Mailing Address |
4209 Grovewood Ln Titusville FL 32780-5914 |
| Practice Telephone | 3214565214 |
| Mailing Telephone | 3213851599 |
| Enumeration Date | 2007-01-15 |
| Last Update Date | 2014-07-20 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251S0007X |
Physical Therapist Specialization: Sports |
PT10558 | FL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| N | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
AL383 | FL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
220 N SYKES CREEK PKWY SUITE 200 |
| City | MERRITT ISLAND |
| State | FL |
| Zip Code | 32953-3490 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437112455 | Space Coast Surgical Center Ltd | Clinic/Center | 220 N Sykes Creek Pkwy, Suite 101, Merritt Island, FL 32953-3490 | 2006-04-10 |
| 1649547084 | Orthopedic Associates, Pa | Orthopaedic Surgery | 220 N Sykes Creek Pkwy, Suite 200, Merritt Island, FL 32953-3489 | 2011-11-30 |
| 1538392287 | James Earl Poppell Jr. | Physical Therapist | 220 N Sykes Creek Pkwy, Suite 300, Merritt Island, FL 32953-3490 | 2009-08-28 |
| 1689855678 | Renee Nicole Reynolds | Physical Therapy Assistant | 220 N Sykes Creek Pkwy, Suite 200, Merritt Island, FL 32953-3490 | 2007-11-18 |
| 1679622336 | Michael Delk | Specialist | 220 N Sykes Creek Pkwy, Suite 1, Merritt Island, FL 32953-3490 | 2007-01-10 |
| 1548336928 | Anthony Devinney | Physical Therapist | 220 N Sykes Creek Pkwy, Merritt Island, FL 32953-3490 | 2006-11-28 |
| 1265541445 | Susan Willard | Physical Therapist | 220 N Sykes Creek Pkwy, Ste 300, Merritt Island, FL 32953-3490 | 2006-08-30 |
| 1174633895 | Brian Rye | Specialist/Technologist | 220 N Sykes Creek Pkwy, Ste 300, Merritt Island, FL 32953-3490 | 2006-08-30 |
| 1144338021 | Monica James | Physical Therapist | 220 N Sykes Creek Pkwy, Ste 300, Merritt Island, FL 32953-3490 | 2006-08-29 |
| 1720195357 | Warren Chinyanganya | Physical Therapist | 220 N Sykes Creek Pkwy, Merritt Island, FL 32953-3490 | 2006-08-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235617432 | Medfast Urgent Care Centers, LLC | Clinic/Center | 390 N. Courtenay Pkwy, Merritt Island, FL 32953 | 2018-07-31 |
| 1801277652 | Karen Kinchin | Marriage & Family Therapist | 2460 N Courtenay Pkwy #114, Merritt Island, FL 32953 | 2015-06-17 |
| 1033528716 | Love Seniors Home Inc | Residential Treatment Facility, Physical Disabilities | 460 Sail Lane, Merritt Island, FL 32953 | 2014-08-07 |
| 1861835738 | All One Family Senior Day Program Inc | Clinic/Center | 585 N . Courtenay Pkwy Suite #101, Merritt Island, FL 32953 | 2013-04-10 |
| 1649517848 | Joanna Knopf | Counselor | 2460 N Courtenay Pkwy Ste 114, Merritt Island, FL 32953 | 2013-01-08 |
| 1518211788 | Todd Bradley Pearcy | Speech-Language Pathologist | 1200 South Courtenay Pkwy, Merritt Island, FL 32953 | 2012-11-09 |
| 1881946630 | David Bhola | Family Medicine | 2404 N Courtenay Pkwy Ste D, Merritt Island, FL 32953 | 2012-10-03 |
| 1417240003 | Kimberly Anderson | Community Health Worker | 900 North Courtenay Parkway, Suite 1, Merritt Island, FL 32953 | 2011-05-16 |
| 1972815835 | Ali Correa | Dentist | 229 Crocket Blvd, Merritt Island, FL 32953 | 2010-07-08 |
| 1699972521 | Shandy M. Monborne | Specialist | 237 N. Grove St, Merritt Island, FL 32953 | 2007-07-03 |
| Find all providers in zip 32953 | ||||
| Taxonomy Code | 2251S0007X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Sports |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538721907 | Revolution Sports and Performance LLC | Physical Therapist | 27774 Autumn Breeze Cir, Wesley Chapel, FL 33544-7839 | 2019-07-05 |
| 1790242105 | Ignacio Ray Barajas | Physical Therapist | 11723 Gulf Beach Hwy, Pensacola, FL 32507-9143 | 2019-02-22 |
| 1679041081 | Mauricio Elizondo | Physical Therapist | 201 Atp Tour Blvd, Ponte Vedra Beach, FL 32082-3211 | 2018-11-05 |
| 1194209205 | Jack Malafronte | Physical Therapist | 2221 S Dale Mabry Hwy, Tampa, FL 33629-6313 | 2018-09-25 |
| 1881109791 | Michael R Preciados | Physical Therapist | 2999 Ne 191st St Ste 230, Aventura, FL 33180-3115 | 2017-12-14 |
| 1467970277 | Naples Premier Physical Therapy Inc | Physical Therapist | 3940 Prospect Ave Ste 103, Naples, FL 34104-3745 | 2017-08-31 |
| 1134643356 | Thomas Mulligan | Physical Therapist | 401 Channelside Dr, Tampa, FL 33602-5400 | 2017-07-29 |
| 1962952333 | Jordan Clayborne | Physical Therapist | 4747 N Ocean Dr Ste 261, Lauderdale By The Sea, FL 33308-2956 | 2016-10-10 |
| 1043764483 | Tonny Vandehee | Physical Therapist | 3264 Pacific Dr, Naples, FL 34119-8672 | 2016-08-14 |
| 1861848517 | Physioworks of Miami | Physical Therapist | 3617 E Sandpiper Dr, #5, Boynton Beach, FL 33436-2463 | 2016-05-12 |
| Find all providers with the same taxonomy | ||||
| City | MERRITT ISLAND |
| Zip Code | 32953 |
Please comment or provide details below to improve the information on MS. NADINE ROSE DE FREITAS.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.