Kane M Freeman, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

07009706 Issued in IL

Practice address

67 Executive Drive
Highland, IL 62249

Phone

(618) 654-4701

Fax

(618) 654-4739

NPI assigned

Mar 27, 2007

Last updated

Nov 6, 2013By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Phoenix Physical TherapyGroup PAC ID 5991861049, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Phoenix Physical Therapy

  • Physical Therapist
  • Swansea, IL
  • NPI 1659525368
  Medicare reassignment Care Compare group NPD
• Missouri Central Physical Therapy, LLC

  dba Mexico Physical Therapy

  • Specialist
  • Mexico, MO
  • NPI 1407044548

  Physical Therapist

  NPD (past) Authorized official
• Gateway Rehabilitation Company, LLC

  • Physical Therapist
  • East Alton, IL
  • NPI 1093771883
  NPD (past)
• Vandalia Physical Therapy LTD

  dba Transforming Physical Therapy

  • Physical Therapy Clinic/Center
  • Vandalia, IL
  • NPI 1174585384

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383696000000",
    "number": "1184742207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "67 EXECUTIVE DRIVE",
            "city": "HIGHLAND",
            "state": "IL",
            "postal_code": "62249",
            "telephone_number": "618-654-4701",
            "fax_number": "618-654-4739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "67 EXECUTIVE DRIVE",
            "city": "HIGHLAND",
            "state": "IL",
            "postal_code": "62249",
            "telephone_number": "618-654-4701",
            "fax_number": "618-654-4739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREEMAN",
        "first_name": "KANE",
        "middle_name": "M",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-27",
        "last_updated": "2013-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070-009706",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "07009706",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Debra Christine Feldott-Johnson, MD
• Brianna Feliciano
• Kelsie J Ferrell, FNP-BC
• Carli Rae Fields
• Christina M Frank, PT, MBA
• Holley Anne Friesz Heidel, SLP-L
• Vonda Fugate
• Robert Dillon Fullenwider, OD
• Roger L Fulton, MD
• Sherri Denise Gaffner

• Physical Therapist in Highland, IL
• Providers in Highland, IL by specialty
• Physical Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2013; 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.