FREEFORM WELLNESS PLLC (NPI# 1689185803) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689185803 |
| Entity Type | Organization |
| Organization Name | FREEFORM WELLNESS PLLC |
| Practice Address |
4525 Heritage Trace Pkwy Ste 101 Fort Worth TX 76244-8908 |
| Practice Telephone | 8174315100 |
| Mailing Telephone | 8174315100 |
| Enumeration Date | 2017-10-15 |
| Last Update Date | 2017-10-15 |
| Authorized Official Name | DR. JESSE JACOBS (OWNER) |
| Authorized Official Telephone | 8174315100 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208100000X | Physical Medicine & Rehabilitation | Allopathic & Osteopathic Physicians |
| Street Address |
4525 HERITAGE TRACE PKWY STE 101 |
| City | FORT WORTH |
| State | TX |
| Zip Code | 76244-8908 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467910547 | Healthcare Development LLC | Pharmacy | 4525 Heritage Trace Pkwy Ste 101, Fort Worth, TX 76244-8942 | 2019-03-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538773510 | Aum Nitin Patel | Optometrist | 12584 N Beach Street #122, Keller, TX 76244 | 2020-09-07 |
| 1477178374 | Trinity Spine and Orthopedics, Pllc | Orthopaedic Surgery | 4444 Heritage Trace, Suite 408, Keller, TX 76244 | 2020-06-16 |
| 1235778622 | Hope Family Healthcare LLC | Nurse Practitioner | 4610 Heritage Trace Pkwy, Ste 400, Keller, TX 76244 | 2020-01-02 |
| 1104468917 | Kylie Ann Montgomery | Behavior Technician | 12650 N Beach St Suite 146, Fort Worth, TX 76244 | 2019-10-14 |
| 1376193433 | Ntkc - Dfw, Pllc | Internal Medicine | 10700 Victoria Ash Dr., Keller, TX 76244 | 2019-09-19 |
| 1629628532 | Today Dental of Saginaw Pllc | Dentist | 1628 Basswood Blvd, Fort Worth, TX 76244 | 2019-09-13 |
| 1962050492 | Precision Ambulatory Surgery Center, LLC | Ophthalmology | 9439 North Beach Street, Fort Worth, TX 76244 | 2019-08-28 |
| 1770145351 | Texas Health Spine Surgery Center Alliance LLC | Clinic/Center | 10900 Founders Way, Suite 100, Fort Worth, TX 76244 | 2019-07-03 |
| 1770048720 | Robin Jansen | Occupational Therapy Assistant | 4317 Oak Chase Dr, Keller, TX 76244 | 2019-02-04 |
| 1033687256 | Marian Abibatu James | Nurse Practitioner | 4516 Jaylin St, Keller, TX 76244 | 2018-11-06 |
| Find all providers in zip 76244 | ||||
| Taxonomy Code | 208100000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Physical medicine and rehabilitation, also referred to as rehabilitation medicine, is the medical specialty concerned with diagnosing, evaluating, and treating patients with physical disabilities. These disabilities may arise from conditions affecting the musculoskeletal system such as neck and back pain, sports injuries, or other painful conditions affecting the limbs, such as carpal tunnel syndrome. Alternatively, the disabilities may result from neurological trauma or disease such as spinal cord injury, head injury or stroke. A physician certified in physical medicine and rehabilitation is often called a physiatrist. The primary goal of the physiatrist is to achieve maximal restoration of physical, psychological, social and vocational function through comprehensive rehabilitation. Pain management is often an important part of the role of the physiatrist. For diagnosis and evaluation, a physiatrist may include the techniques of electromyography to supplement the standard history, physical, x-ray and laboratory examinations. The physiatrist has expertise in the appropriate use of therapeutic exercise, prosthetics (artificial limbs), orthotics and mechanical and electrical devices. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. American Osteopathic Board of Physical Medicine and Rehabilitation, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Physical Medicine and Rehabilitation. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871760421 | R G Medical Pllc | Physical Medicine & Rehabilitation | 5001 Brentwood Stair Rd, Suite 107, Fort Worth, TX 76112-2801 | 2008-05-13 |
| 1477751774 | Robert Judson Balch IIi | Physical Medicine & Rehabilitation | 4319 Camp Bowie Blvd, Fort Worth, TX 76107 | 2007-07-07 |
| 1417166240 | Lan Thanh Le | Physical Medicine & Rehabilitation | 800 8th Ave Ste 506, Fort Worth, TX 76104-2604 | 2007-05-21 |
| 1255450797 | Mary R Hannaman | Physical Medicine & Rehabilitation | 5012 Trinity Landing Dr W, Fort Worth, TX 76132-3736 | 2007-03-28 |
| 1386695906 | Cesar P Duclair | Physical Medicine & Rehabilitation | 2601 Scott Ave Ste 102, Fort Worth, TX 76103-2301 | 2006-05-16 |
| 1194776872 | Metroplex Medical Rehabilitation & Sports Medicine Pa | Physical Medicine & Rehabilitation | 6116 Oakbend Trl, Suite 112, Fort Worth, TX 76132-3925 | 2006-05-15 |
| 1922061571 | William C Bridges Md & Associates | Physical Medicine & Rehabilitation | 425 Alabama Ave, Fort Worth, TX 76104-1022 | 2006-04-06 |
| 1912968207 | Kenneth James Buley Md | Physical Medicine & Rehabilitation | 6551 Harris Parkway, Suite 110, Fort Worth, TX 76132-6105 | 2006-03-28 |
| 1962471607 | Omar F Selod | Physical Medicine & Rehabilitation | 5632 Edwards Ranch Rd Ste 100, Fort Worth, TX 76109 | 2006-03-15 |
| 1467427054 | Ade Lateef Adedokun | Physical Medicine & Rehabilitation | 6116 Oakbend Trl Ste 112, Fort Worth, TX 76132-3926 | 2006-02-17 |
| Find all providers in FORT WORTH | ||||
| City | FORT WORTH |
| Zip Code | 76244 |
Please comment or provide details below to improve the information on FREEFORM WELLNESS PLLC.
| 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.