Organization Active NPI

Freedom Rehab Specialties, LP

  • Comprehensive Outpatient Rehabilitation Facility (CORF)
  • Lewisville, TX
National Provider Identifier
1235155797
Registry record updated Nov 21, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Comprehensive Outpatient Rehabilitation Facility (CORF)Taxonomy code 261QR0401X
Legal business name
FREEDOM REHAB SPECIALTIES, LP
Practice address
190 Civic Cir Ste 100
Lewisville, TX 75067-3635
Phone
(972) 221-1212
Fax
(972) 221-8252
NPI assigned
Jul 15, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2007

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

Authorized official

Name
Mrs. Kristen M Bell
Title
President
Phone
(972) 221-1212

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Comprehensive Outpatient Rehabilitation Facility (CORF) 261QR0401X Primary

Addresses

Primary practice location

190 Civic Cir Ste 100
Lewisville, TX 75067-3635

Mailing address

190 Civic Cir Ste 100
Lewisville, TX 75067-3635
Phone (972) 221-1212

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20021220000003 TX Part A Provider - Comprehensive Outpatient Rehabilitation Facility 7416865506 Practice locations: Lewisville, TX

National Provider Directory

National Provider Directory
Tax ID family
Freedom Rehab Specialties2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1288 W Main St
Ste 200
Lewisville, TX 75067
Phone (972) 221-1212

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": "1152921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195603200000",
    "number": "1235155797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "190 CIVIC CIR STE 100",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750673635",
            "telephone_number": "972-221-1212",
            "fax_number": "972-221-8252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "190 CIVIC CIR STE 100",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750673635",
            "telephone_number": "972-221-1212",
            "fax_number": "972-221-8252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREEDOM REHAB SPECIALTIES, LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-15",
        "last_updated": "2007-11-21",
        "status": "A",
        "authorized_official_last_name": "BELL",
        "authorized_official_first_name": "KRISTEN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "972-221-1212",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QR0401X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewisville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.