Freedom Physical Therapy and Wellness LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

FREEDOM PHYSICAL THERAPY AND WELLNESS LLC

Practice address

217 County Road 17
Elkhart, IN 46516-5450

Phone

(317) 762-0194

NPI assigned

Oct 27, 2022

Last updated

Oct 27, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

John DevriesNPI 1619456050

Title

Owner

Phone

(317) 762-0194

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• John B. Devries, DPT

  • Physical Therapist
  • Elkhart, IN
  • NPI 1619456050
  NPD Authorized official

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

{
    "created_epoch": "1666828800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666828800000",
    "number": "1184341349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1414 GLENWOOD PARK DR",
            "city": "ELKHART",
            "state": "IN",
            "postal_code": "465144486",
            "telephone_number": "317-762-0194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 COUNTY ROAD 17",
            "city": "ELKHART",
            "state": "IN",
            "postal_code": "465165450",
            "telephone_number": "317-762-0194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREEDOM PHYSICAL THERAPY AND WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-27",
        "last_updated": "2022-10-27",
        "certification_date": "2022-10-04",
        "status": "A",
        "authorized_official_last_name": "DEVRIES",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "317-762-0194"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lesley J. Frakes, MA
• Callie Frank
• Kristen Frank, PT
• Free Your Mind Counseling, Inc.
• Freedom Counseling Services, LLC
• Susan Freisinger, CRNA
• Fresenius Medical Care North Elkhart, LLC (Fresenius Kidney Care North Elkhart)
• Peter C Fretz, MD
• Elvie J Frey Jr., CRNA
• Denise Friedli, RPT

• Physical Therapist in Elkhart, IN
• Providers in Elkhart, IN by specialty
• Physical Therapist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2022; 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.