Individual provider Active NPI

Brad Stephen Freemyer, PT

  • Physical Therapist
  • Roswell, GA
National Provider Identifier
1336196948
Registry record updated Aug 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT0002661 Issued in GA
Practice address
930 Woodstock Rd
Suite 310
Roswell, GA 30075-2220
Phone
(770) 998-6636
Fax
(770) 998-6646
NPI assigned
May 28, 2006
Last updated
Aug 22, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT0002661 GA Primary
Geriatric Physical Therapist 2251G0304X PT002661 GA
Sports Physical Therapist 2251S0007X PT002661 GA
Orthopedic Physical Therapist 2251X0800X PT002661 GA

Addresses

Primary practice location

930 Woodstock Rd
Suite 310
Roswell, GA 30075-2220

Mailing address

930 Woodstock Rd
Suite 310
Roswell, GA 30075-2220
Phone (770) 998-6636

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040416000819 GA Practitioner - Physical Therapist in Private Practice 8224023544 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
A Step Ahead Physical Therapy, LLCGroup PAC ID 0941399968, 8 clinicians

Practice addresses (Care Compare)

930 Woodstock Rd
Suite 310
Roswell, GA 30075-2220
Phone (770) 998-6636

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT0002661GAMDPhysical Therapist
PT002661GAMDGeriatric Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
A Step Ahead Physical Therapy, LLC CurrentSince Jan 15, 2004 Accepting new patients

Locations

930 Woodstock Rd
Ste 310
Roswell, GA 30075
Phone (770) 998-6636

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": "1148774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724284800000",
    "number": "1336196948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "930 WOODSTOCK RD",
            "address_2": "SUITE 310",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300752220",
            "telephone_number": "770-998-6636",
            "fax_number": "770-998-6646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "930 WOODSTOCK RD",
            "address_2": "SUITE 310",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300752220",
            "telephone_number": "770-998-6636",
            "fax_number": "770-998-6646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREEMYER",
        "first_name": "BRAD",
        "middle_name": "STEPHEN",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-28",
        "last_updated": "2024-08-22",
        "certification_date": "2024-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT0002661",
            "primary": true
        },
        {
            "code": "2251G0304X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Geriatrics",
            "state": "GA",
            "license": "PT002661",
            "primary": false
        },
        {
            "code": "2251S0007X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Sports",
            "state": "GA",
            "license": "PT002661",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "GA",
            "license": "PT002661",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roswell, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2024; 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.