Individual provider Active NPI

Jill A Freedline, PHYSICAL THERAPIST

  • Geriatric Physical Therapist
  • Lantana, FL
National Provider Identifier
1124357017
Registry record updated Dec 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Physical TherapistTaxonomy code 2251G0304X
License
PT19105 Issued in FL
Practice address
2792 Donnelly Dr
Lantana, FL 33462-6431
Phone
(561) 966-4600
NPI assigned
Dec 23, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Physical Therapist 2251G0304X PT19105 FL Primary

Addresses

Primary practice location

2792 Donnelly Dr
Lantana, FL 33462-6431

Mailing address

800 Crestwood CT S
812
Royal Palm Beach, FL 33411-4904
Phone (561) 422-7041

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

State licenses

LicenseStateTypeSpecialty
PT19105FLMDGeriatric Physical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1261526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1261526400000",
    "number": "1124357017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 CRESTWOOD CT S",
            "address_2": "812",
            "city": "ROYAL PALM BEACH",
            "state": "FL",
            "postal_code": "334114904",
            "telephone_number": "561-422-7041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2792 DONNELLY DR",
            "city": "LANTANA",
            "state": "FL",
            "postal_code": "334626431",
            "telephone_number": "561-966-4600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREEDLINE",
        "first_name": "JILL",
        "middle_name": "A",
        "credential": "PHYSICAL THERAPIST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-12-23",
        "last_updated": "2009-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251G0304X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Geriatrics",
            "state": "FL",
            "license": "PT19105",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lantana, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2009; 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.