Freddie A Kolmetz, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT 18673 Issued in FL

Practice address

877 3Rd St
Suite 1
Chipley, FL 32428-1827

Phone

(850) 638-8447

Fax

(850) 638-9217

NPI assigned

Dec 31, 2007

Sex

Male

Sole proprietor

No

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

Enrolled in FL

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Restore Therapy and Wellness, Inc. 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Restore Therapy and Wellness, Inc.

  • Rehabilitation Clinic/Center
  • Chipley, FL
  • NPI 1245590918

  FL

  Medicare reassignment Care Compare group
• Crestview Physical Therapy Inc

  • Physical Therapist
  • Crestview, FL
  • NPI 1295784668
  NPD (past)

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

{
    "created_epoch": "1199059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1199059200000",
    "number": "1013192822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "877 3RD ST",
            "address_2": "SUITE 1",
            "city": "CHIPLEY",
            "state": "FL",
            "postal_code": "324281827",
            "telephone_number": "850-638-8447",
            "fax_number": "850-638-9217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "877 3RD ST",
            "address_2": "SUITE 1",
            "city": "CHIPLEY",
            "state": "FL",
            "postal_code": "324281827",
            "telephone_number": "850-638-8447",
            "fax_number": "850-638-9217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOLMETZ",
        "first_name": "FREDDIE",
        "middle_name": "A",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-12-31",
        "last_updated": "2007-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT 18673",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janice Rebecca Jeter
• Cindy D Johnson Brown, CCC-SLP
• Soketa Nomic Johnson
• Alan S Justice, PT
• Ramona Hester King, PHARMD
• Gerald Guy Lachance, DO
• Kaliegh Payne Laurel, DPT
• Lorrie Ann Laurel, P.T.
• Lighthouse Afch
• Allison Forehand Locke, ARNP-C

• All providers in Chipley, FL
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.