Waddie Freeman

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA2368 Issued in FL

Practice address

110 W Reynolds St Ste 101
Plant City, FL 33563-3377

Phone

(813) 261-0130

Fax

(813) 261-0603

NPI assigned

Feb 9, 2021

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Uplift Home Health Care LLC

  • In Home Supportive Care Agency
  • Plant City, FL
  • NPI 1194668855
  NPD Authorized official
• Uplift Homecare LLC

  • Home Health Agency
  • Plant City, FL
  • NPI 1508225434
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1612828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744156800000",
    "number": "1003408196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 W REYNOLDS ST STE 104",
            "city": "PLANT CITY",
            "state": "FL",
            "postal_code": "335633377",
            "telephone_number": "813-370-7817",
            "fax_number": "813-261-0603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 W REYNOLDS ST STE 101",
            "city": "PLANT CITY",
            "state": "FL",
            "postal_code": "335633377",
            "telephone_number": "813-261-0130",
            "fax_number": "813-261-0603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREEMAN",
        "first_name": "WADDIE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-02-09",
        "last_updated": "2025-04-09",
        "certification_date": "2025-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "FL",
            "license": "PTA2368",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Forever Grace Services LLC
• Francis a Derito M.D.
• Chasity Aisha Franklin, APRN
• Brett Frazier, M.D.
• Freedom Family Practice
• Matthew Daniel Fucarino, MD
• Hector R Fuentes-Colon, MD
• Carlos Antonio Fumero, M.D.
• Judy A Fumler, LMT MMP
• Jade Isabella Fungquee, OD

• Physical Therapy Assistant in Plant City, FL
• Providers in Plant City, FL by specialty
• Physical Therapy Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.