Individual provider Active NPI

Patiane Freitas, DPT

  • Physical Therapist
  • Modesto, CA
National Provider Identifier
1326432485
Registry record updated Nov 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
41638 Issued in CA
Practice address
1604 Ford Ave Ste 11
Modesto, CA 95350-4655
Phone
(209) 840-1624
NPI assigned
Mar 26, 2015
Last updated
Nov 30, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 41638 CA Primary

Addresses

Primary practice location

1604 Ford Ave Ste 11
Modesto, CA 95350-4655

Mailing address

1604 Ford Ave Ste 11
Modesto, CA 95350-4655
Phone (209) 840-1624

Other practice location 1

6016 Lindley Ave
Encino, CA 91316
Phone (323) 944-4970

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
41638CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Baby Moves Inc Current Accepting new patients

Locations

1604 Ford Ave
Ste 11
Modesto, CA 95350
Phone (209) 840-1624

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1427328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543536000000",
    "number": "1326432485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1604 FORD AVE STE 11",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953504655",
            "telephone_number": "209-840-1624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1604 FORD AVE STE 11",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953504655",
            "telephone_number": "209-840-1624"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6016 Lindley Ave",
            "address_purpose": "LOCATION",
            "city": "Encino",
            "state": "CA",
            "postal_code": "91316",
            "country_code": "US",
            "telephone_number": "323-944-4970",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FREITAS",
        "first_name": "PATIANE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-26",
        "last_updated": "2018-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "41638",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Modesto, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2018; 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.