Organization Active NPI

Freedom Physical Therapy Inc

Doing business as Fyzical Therapy and Balance of Grove City

  • Physical Therapy Clinic/Center
  • Grove City, PA
National Provider Identifier
1235620352
Registry record updated Nov 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
PT015063 Issued in PA
Legal business name
FREEDOM PHYSICAL THERAPY INC
Doing business as
Fyzical Therapy and Balance of Grove City
Practice address
107 Breckenridge St
Grove City, PA 16127-1025
Phone
(724) 992-9822
NPI assigned
May 24, 2018
Last updated
Nov 4, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2019

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

Authorized official

Name
Mr. Timothy Earman, DPTNPI 1033110135
Title
President
Phone
(724) 992-9822

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X PT015063 PA Primary

Addresses

Primary practice location

107 Breckenridge St
Grove City, PA 16127-1025

Mailing address

115 W Hunt Dr
Grove City, PA 16127-6394
Phone (724) 992-9822

Other names 1

  • Fyzical Therapy and Balance of Grove City Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20181017001811 PA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 9537411640 Receives reassigned benefits from 4 practitioners
Practice locations: Grove City, PA

National Provider Directory

National Provider Directory

Locations

110 Breckenridge St
Grove City, PA 16127
Phone (724) 264-4255

Practitioners & affiliated clinicians

Practitioners 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1527120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1572825600000",
    "number": "1235620352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 W HUNT DR",
            "city": "GROVE CITY",
            "state": "PA",
            "postal_code": "161276394",
            "telephone_number": "724-992-9822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 BRECKENRIDGE ST",
            "city": "GROVE CITY",
            "state": "PA",
            "postal_code": "161271025",
            "telephone_number": "724-992-9822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREEDOM PHYSICAL THERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-24",
        "last_updated": "2019-11-04",
        "status": "A",
        "authorized_official_last_name": "EARMAN",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "724-992-9822",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "PA",
            "license": "PT015063",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fyzical Therapy and Balance of Grove City",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Fyzical Therapy and Balance of Grove City",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Grove City, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2019; 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.