Freedom PT

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

FREEDOM PT

Practice address

14845 NW Northumbria LN
Beaverton, OR 97006-5435

Phone

(773) 592-0673

NPI assigned

Nov 27, 2023

Organization subpart

No

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

Authorized official

Name

Dipti KaleNPI 1548682925

Title

Owner

Phone

(773) 592-0673

Specialties & licenses 2

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Dipti Kale, DPT

  • Physical Therapist
  • Beaverton, OR
  • NPI 1548682925
  NPD Authorized official

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

{
    "created_epoch": "1701043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701043200000",
    "number": "1093581670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14845 NW NORTHUMBRIA LN",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970065435",
            "telephone_number": "773-592-0673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14845 NW NORTHUMBRIA LN",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970065435",
            "telephone_number": "773-592-0673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREEDOM PT",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-27",
        "last_updated": "2023-11-27",
        "certification_date": "2023-11-27",
        "status": "A",
        "authorized_official_last_name": "KALE",
        "authorized_official_first_name": "DIPTI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "773-592-0673"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinic/Center in Beaverton, OR
• Providers in Beaverton, OR by specialty
• Clinic/Center in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; 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.