Organization Active NPI

Freedom Rehab LLC

  • Rehabilitation Practitioner
  • Port Charlotte, FL
National Provider Identifier
1457724171
Registry record updated Oct 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation PractitionerTaxonomy code 225400000X
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

Updated by the provider on Oct 22, 2020

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)CodeLicenseStatePrimary
Rehabilitation PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 225400000X Primary
Occupational TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.