Individual provider Active NPI

Jonathan D Freeman, DPT

  • Physical Therapist
  • Appleton, WI
National Provider Identifier
1023677903
Registry record updated Apr 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
14745-24 Issued in WI
Practice address
1603 S Nicolet Rd Apt 4
Appleton, WI 54914-7545
Phone
(402) 570-6676
NPI assigned
Jun 13, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 14745-24 WI Primary

Addresses

Primary practice location

1603 S Nicolet Rd Apt 4
Appleton, WI 54914-7545

Mailing address

1603 S Nicolet Rd Apt 4
Appleton, WI 54914-7545

Other identifiers 1

IdentifierTypeStateIssuer
14745-24OtherWILICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200612000458 NE Practitioner - Physical Therapist in Private Practice 0345574430 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1900 K St
Suite 170
Lincoln, NE 68510-1054
Phone (531) 204-8810

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
14745-24WIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Lincoln Orthopedic Physical Therapy PC Single Specialty CurrentSince Jun 1, 2021 Accepting new patients
Complete Physical Therapy LLC Single Specialty CurrentSince May 26, 2020 Accepting new patients
Lincoln Orthopedic Physical Therapy PC Physical Therapist CurrentSince Jun 1, 2021 Accepting new patients

Locations

2801 Pine Lake Rd
Ste K
Lincoln, NE 68516
Phone (402) 436-2535

1651 N 86th St
Ste 100
Lincoln, NE 68505
Phone (402) 484-7117

1900 K St
Ste 170
Lincoln, NE 68510
Phone (531) 204-8810

4220 Pioneer Woods Dr
Lincoln, NE 68506
Phone (402) 483-0006

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1560384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776038400000",
    "number": "1023677903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1603 S NICOLET RD APT 4",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549147545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1603 S NICOLET RD APT 4",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549147545",
            "telephone_number": "402-570-6676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREEMAN",
        "first_name": "JONATHAN",
        "middle_name": "D",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-06-13",
        "last_updated": "2026-04-13",
        "certification_date": "2026-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "14745-24",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "14745-24",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Appleton, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2026; 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.