Individual provider Active NPI

Jennifer Jo Freeling, MPT

  • Physical Therapist
  • O'Fallon, MO
National Provider Identifier
1003960527
Registry record updated Apr 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
20000170888 Issued in MO
Practice address
3404 E Terra LN
O Fallon, MO 63366-4554
Phone
(636) 970-0336
Fax
(636) 970-0337
NPI assigned
Jan 22, 2007
Last updated
Apr 2, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 20000170888 MO Primary

Addresses

Primary practice location

3404 E Terra LN
O Fallon, MO 63366-4554

Mailing address

3404 E Terra LN
O Fallon, MO 63366-4554
Phone (636) 970-0336

Other names 1

  • Jennifer Jo Kropatsch Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
20000170888MOMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1427932800000",
    "number": "1003960527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3404 E TERRA LN",
            "city": "O FALLON",
            "state": "MO",
            "postal_code": "633664554",
            "telephone_number": "636-970-0336",
            "fax_number": "636-970-0337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3404 E TERRA LN",
            "city": "O FALLON",
            "state": "MO",
            "postal_code": "633664554",
            "telephone_number": "636-970-0336",
            "fax_number": "636-970-0337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREELING",
        "first_name": "JENNIFER",
        "middle_name": "JO",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-22",
        "last_updated": "2015-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "20000170888",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "KROPATSCH",
            "middle_name": "JO",
            "credential": "MPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in O'Fallon, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2015; 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.