Individual provider Active NPI

Kristopher Caleb Freeman, PT, DPT

  • Physical Therapist
  • Little Rock, AR
National Provider Identifier
1104659770
Registry record updated Oct 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5522 Issued in AR
Practice address
10 View Point CV
Little Rock, AR 72223-1711
Phone
(501) 289-5609
NPI assigned
Aug 20, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 5522 AR Primary

Addresses

Primary practice location

10 View Point CV
Little Rock, AR 72223-1711

Mailing address

1200 Covington Way Apt 312
Conway, AR 72034-7158
Phone (501) 278-7680

Other practice location 1

222 Wellington Hills Rd
Little Rock, AR 72211-2295
Phone (501) 604-8088

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241008001898 AR Practitioner - Physical Therapist in Private Practice 2668903113 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Vincent Medical GroupGroup PAC ID 5698758803, 237 clinicians

Practice addresses (Care Compare)

10 View Point CV
Little Rock, AR 72223-1711
Phone (501) 773-9895

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5522ARMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
St. Vincent Medical Group CurrentSince Oct 21, 2024 Accepting new patients
Serc Rehabilitation Partners, LLC Physical Therapist CurrentSince Sep 3, 2024 Accepting new patients
Serc Rebabilitation Partners, LLC Physical Therapist CurrentSince Sep 3, 2024 Accepting new patients

Locations

1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568

222 Wellington Hills Rd
#100
Little Rock, AR 72211
Phone (501) 604-8088

222 Wellington Hills Rd
Little Rock, AR 72211
Phone (501) 604-8088

10 View Point Cv
Little Rock, AR 72223
Phone (501) 588-3910

16221 Saint Vincent Way
Little Rock, AR 72223
Phone (501) 221-0888

10 View Point Cv
#D1
Little Rock, AR 72223
Phone (501) 773-9895

2603 W Pleasant Grove Rd
Ste 104
Rogers, AR 72758
Phone (479) 636-1187

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": "1724112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729641600000",
    "number": "1104659770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 COVINGTON WAY APT 312",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720347158",
            "telephone_number": "501-278-7680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 VIEW POINT CV",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722231711",
            "telephone_number": "501-289-5609"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "222 Wellington Hills Rd",
            "address_purpose": "LOCATION",
            "city": "Little Rock",
            "state": "AR",
            "postal_code": "722112295",
            "country_code": "US",
            "telephone_number": "501-604-8088",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FREEMAN",
        "first_name": "KRISTOPHER",
        "middle_name": "CALEB",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-08-20",
        "last_updated": "2024-10-23",
        "certification_date": "2024-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AR",
            "license": "5522",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Rock, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2024; 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.