Active NPI
Scott Michael Freer, MS, ATCL
- Athletic Trainer
- Miami Gardens, FL
National Provider Identifier
1063565109
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- AL 1288
- Practice address
- 16401 NW 37TH Ave
Miami Gardens, FL 33054-6313 - Phone
- (305) 628-6533
- Fax
- (305) 628-6790
- NPI assigned
- Jan 20, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | AL 1288 | FL | Primary |
Addresses
Primary practice location
16401 NW 37TH Ave
Miami Gardens, FL 33054-6313
Mailing address
9940 SW 62ND St
Miami, FL 33173-1432
Phone (305) 628-6533
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)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AL 1288 | FL | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169251200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1063565109",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9940 SW 62ND ST",
"city": "MIAMI",
"state": "FL",
"postal_code": "331731432",
"telephone_number": "305-628-6533"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16401 NW 37TH AVE",
"city": "MIAMI GARDENS",
"state": "FL",
"postal_code": "330546313",
"telephone_number": "305-628-6533",
"fax_number": "305-628-6790"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FREER",
"first_name": "SCOTT",
"middle_name": "MICHAEL",
"name_prefix": "Mr.",
"credential": "MS, ATCL",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "FL",
"license": "AL 1288",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Miami Gardens, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.