FREEDOM PHYSICAL THERAPY, LLC (NPI# 1679719884) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679719884 |
| Entity Type | Organization |
| Organization Name | FREEDOM PHYSICAL THERAPY, LLC |
| Practice Address |
390 Waterloo Blvd Suite 201 Exton PA 19341-2603 |
| Mailing Address |
676 Dekalb Pike Suite 205 Blue Bell PA 19422-1223 |
| Practice Telephone | 6102700370 |
| Practice Fax Number | 6102700374 |
| Mailing Telephone | 6102700370 |
| Mailing Fax Number | 6102700374 |
| Enumeration Date | 2008-12-18 |
| Last Update Date | 2008-12-18 |
| Authorized Official Name | MRS. KAMALA N BONGIORNO (MANAGER) |
| Authorized Official Telephone | 6102700370 |
| Authorized Official Credential | MPT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306119300 | Freedom Physical Therapy, LLC | Clinic/Center | 67 N Main St Ste A, Boscawen, NH 03303-1237 | 2012-02-22 |
| 1861847329 | Freedom Physical Therapy, LLC | Clinic/Center | 100 N Us Highway 77, Suite I, Raymondville, TX 78580-4000 | 2016-05-03 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Freedom Physical Therapy, LLC | 12001 W 63rd Pl Ste 5, Arvada, CO 80004-4032 |
| Street Address |
390 WATERLOO BLVD SUITE 201 |
| City | EXTON |
| State | PA |
| Zip Code | 19341-2603 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568441673 | Kenan Aksu | Orthopaedic Surgery | 390 Waterloo Blvd, Suite 200, Exton, PA 19341-2603 | 2006-01-17 |
| 1366040834 | Rachel Marie Lawson | Behavioral Analyst | 390 Waterloo Blvd, Exton, PA 19341-2624 | 2020-10-15 |
| 1770194029 | Stephen Douglas Bennett | Community/Behavioral Health | 390 Waterloo Blvd, Exton, PA 19341-2624 | 2020-08-11 |
| 1710595293 | Alyssa Jennifer Bauer | Behavioral Analyst | 390 Waterloo Blvd, Exton, PA 19341-2624 | 2020-07-21 |
| 1083267371 | Jessica Marie Miller | Counselor | 390 Waterloo Blvd, Exton, PA 19341-2624 | 2019-07-16 |
| 1073019931 | Jessica Benzing | Counselor | 390 Waterloo Blvd, Exton, PA 19341-2624 | 2018-03-31 |
| 1023512845 | Nathan S Scarbrough | Counselor | 390 Waterloo Blvd, Exton, PA 19341-2624 | 2018-03-19 |
| 1073024956 | Americ Quandt-mccullagh | Occupational Therapist | 390 Waterloo Blvd, Exton, PA 19341-2624 | 2017-10-18 |
| 1063966307 | T.w. Ponessa & Associates Counseling Services Inc | Counselor | 390 Waterloo Blvd, Suite 120, Exton, PA 19341-2603 | 2016-08-03 |
| 1851751002 | Kristin Reagan | Counselor | 390 Waterloo Blvd, Exton, PA 19341-2603 | 2016-03-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972156024 | Kathryn Avery | Physical Therapy Assistant | Powerback Exton, 501 Thomas Jones Way, Exton, PA 19341 | 2019-07-18 |
| 1457814188 | Your Best Hearing, LLC | Audiologist | 308 Shoen Rd, Exton, PA 19341 | 2019-04-10 |
| 1467932574 | Stephanie Johanna Costello | Behavioral Analyst | 1801 Worthington Drive, Exton, PA 19341 | 2018-08-17 |
| 1831606870 | Mark Wieland | Counselor | 47 Marchwood Rd Ste 1-j1, Exton, PA 19341 | 2017-12-29 |
| 1972017671 | Pennsylvania Cvs Pharmacy, L.L.C. | Pharmacy | 141 West Lincoln Hwy, Exton, PA 19341 | 2017-11-17 |
| 1073039012 | Katelyn Price | Pharmacist | 141 West Lincoln Highway, Exton, PA 19341 | 2017-08-22 |
| 1205378502 | Brenda Bobko | Counselor | 526 Summercroft Drive, Exton, PA 19341 | 2016-11-17 |
| 1669846945 | Sue C Lischuk | Dietitian, Registered | 455 Concord Avenue, Exton, PA 19341 | 2015-11-24 |
| 1619357118 | The Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 487 Lisa Lane, Exton, PA 19341 | 2015-06-01 |
| 1609262179 | Diane Mcquillen | Internal Medicine | 278 Eagleview Blvd # 2, Exton, PA 19341 | 2015-04-12 |
| Find all providers in zip 19341 | ||||
| Taxonomy Code | 2251X0800X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Orthopedic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225062219 | Ostrow & Associates Physical Therapy & Wellness Centers, P.C. | Physical Therapist | 325 Gordon Dr, Exton, PA 19341-1201 | 2006-07-10 |
| 1659880201 | Calvin Tracy | Physical Therapist | 83 Dowlin Forge Rd, Exton, PA 19341-1548 | 2017-09-27 |
| 1194278416 | Bryan Fritsch | Physical Therapist | 83 Dowlin Forge Rd, Exton, PA 19341-1548 | 2016-08-03 |
| 1770829830 | Premier Orthopaedic and Sports Medicine Associates Ltd | Physical Therapist | 491 John Young Way, Suite 201, Exton, PA 19341-2567 | 2012-12-18 |
| 1366771776 | Carolina Mesa Derose | Physical Therapist | 780 W Lincoln Hwy, Exton, PA 19341-2547 | 2009-12-14 |
| 1225366859 | Theresa M Feola | Physical Therapist | 470 John Young Way, Suite 200, Exton, PA 19341-2557 | 2009-11-19 |
| 1710213103 | Gary John Everett | Physical Therapist | 780 W Lincoln Hwy, Exton, PA 19341-2547 | 2009-10-20 |
| 1538305370 | Lisa Angioli | Physical Therapist | 780 W Lincoln Hwy, Exton, PA 19341-2547 | 2008-12-29 |
| 1447364252 | David M Ostrow | Physical Therapist | 325 Gordon Dr, Exton, PA 19341-1201 | 2006-08-18 |
| 1457387367 | Maureen D Holland Hagan | Physical Therapist | 491 John Young Way, Exton, PA 19341-2567 | 2006-06-23 |
| Find all providers in EXTON | ||||
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| 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.