Gabrielle Freed

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT029246 Issued in PA

Practice address

5479 Pottsville Pike Ste 200
Leesport, PA 19533-8634

Phone

(610) 926-6778

NPI assigned

Mar 31, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1617148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617148800000",
    "number": "1043898042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5479 POTTSVILLE PIKE STE 200",
            "city": "LEESPORT",
            "state": "PA",
            "postal_code": "195338634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5479 POTTSVILLE PIKE STE 200",
            "city": "LEESPORT",
            "state": "PA",
            "postal_code": "195338634",
            "telephone_number": "610-926-6778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREED",
        "first_name": "GABRIELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-31",
        "last_updated": "2021-03-31",
        "certification_date": "2021-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT029246",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PT LICENSE",
            "identifier": "PT029246",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Leesport",
            "affiliation": "N",
            "address_1": "5479 Pottsville Pike Ste 200",
            "city": "Leesport",
            "state": "PA",
            "country_code": "US",
            "postal_code": "195338634",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Kaitlin Faulcon
• Amy Faust
• Brady Fidler, DPT
• Alberto E Figueroa, LPC
• Cimmaron Flores, COTA/L
• Christa Marie Galczynski, CRNP
• Logan Gehman, DC
• Carolyn Marie Goff, MS OTR/L
• Kristin Anne Lawler Gordos, D.M.D.
• Joanna Grzadziel, DO

• Physical Therapist in Leesport, PA
• Providers in Leesport, PA by specialty
• Physical Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2021; 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.