Active NPI
Freedom Rehab LLC
- Rehabilitation Practitioner
- Port Charlotte, FL
National Provider Identifier
1457724171
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Practitioner
- Legal business name
- FREEDOM REHAB LLC
- Practice address
- 17162 Toledo Blade Blvd
Port Charlotte, FL 33954-2626 - Phone
- (941) 400-1505
- NPI assigned
- Nov 3, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Brenda Cardone Van Salisbury, OTR/L
- Title
- Ceo/Owner
- Phone
- (941) 539-2403
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Practitioner | 225400000X | Primary | ||
| Occupational Therapist | 225X00000X |
Addresses
Primary practice location
17162 Toledo Blade Blvd
Port Charlotte, FL 33954-2626
Mailing address
3545 Massini Ave
North Port, FL 34286-2412
National Provider Directory
National Provider DirectoryLocations
17162 Toledo Blade Blvd
Pt Charlotte, FL 33954
Phone (941) 400-1505
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1446508800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1603324800000",
"number": "1457724171",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3545 MASSINI AVE",
"city": "NORTH PORT",
"state": "FL",
"postal_code": "342862412"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17162 TOLEDO BLADE BLVD",
"city": "PORT CHARLOTTE",
"state": "FL",
"postal_code": "339542626",
"telephone_number": "941-400-1505"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FREEDOM REHAB LLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-11-03",
"last_updated": "2020-10-22",
"certification_date": "2020-10-22",
"status": "A",
"authorized_official_last_name": "VAN SALISBURY",
"authorized_official_first_name": "BRENDA",
"authorized_official_middle_name": "CARDONE",
"authorized_official_title_or_position": "CEO/OWNER",
"authorized_official_telephone_number": "941-539-2403",
"authorized_official_credential": "OTR/L"
},
"taxonomies": [
{
"code": "225400000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Rehabilitation Practitioner",
"state": null,
"license": null,
"primary": true
},
{
"code": "225X00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Occupational Therapist",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Port Charlotte, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.