Organization Active NPI

Crosswinds Physician Services, Inc

  • Chiropractor
  • St Petersburg, FL
National Provider Identifier
1205252343
Registry record updated Jan 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH5113 Issued in FL
Legal business name
CROSSWINDS PHYSICIAN SERVICES, INC
Practice address
1224 66TH St North
St Petersburg, FL 33710
Phone
(727) 347-3400
Fax
(727) 347-0502
NPI assigned
Mar 13, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2021

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

Authorized official

Name
Fred S Freed, DC
Title
Owner/Physician
Phone
(727) 347-3400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CH5113 FL Primary

Addresses

Primary practice location

1224 66TH St North
St Petersburg, FL 33710

Mailing address

1224 66TH St North
St Petersburg, FL 33710
Phone (727) 347-3400

National Provider Directory

National Provider Directory

Locations

2205 Tyrone Blvd
Saint Petersburg, FL 33710
Phone (727) 347-3400

2205 Tyrone Blvd
Saint Petersburg, FL 33710
Phone (727) 347-3400

2205 Tyrone Blvd
St Petersburg, FL 33710
Phone (727) 347-3400

1224 66th St N
St Petersburg, FL 33710
Phone (727) 345-4859

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1394668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611792000000",
    "number": "1205252343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1224 66TH ST NORTH",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "33710",
            "telephone_number": "727-347-3400",
            "fax_number": "727-347-0502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1224 66TH ST NORTH",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "33710",
            "telephone_number": "727-347-3400",
            "fax_number": "727-347-0502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROSSWINDS PHYSICIAN SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-13",
        "last_updated": "2021-01-28",
        "certification_date": "2021-01-28",
        "status": "A",
        "authorized_official_last_name": "FREED",
        "authorized_official_first_name": "FRED",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "727-347-3400",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH5113",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2021; 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.