Individual provider Active NPI

Colleen Freeman, DPT

  • Physical Therapist
  • Jacksonville, FL
National Provider Identifier
1467859033
Registry record updated Jun 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
34933 Issued in FL
Practice address
1537 Penman Rd
Jacksonville, FL 32250
Phone
(202) 210-8726
NPI assigned
Nov 26, 2014
Last updated
Jun 15, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 15, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 34933 FL Primary
Military Health Care Provider 171000000X 1252236 TX

Addresses

Primary practice location

1537 Penman Rd
Jacksonville, FL 32250

Mailing address

3301 Sundown Blvd
Denton, TX 76210-8032
Phone (202) 210-8726

Other practice location 1

Uss Theodore Roosevelt
CVN 71
Fpo, AE 09599-2871
Phone (757) 443-7415

Other practice location 2

3201 Teasley Ln Ste 201
Denton, TX 76210-8304
Phone (940) 387-1101

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
1252236TXMDMilitary Health Care Provider
34933FLMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1416960000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655251200000",
    "number": "1467859033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3301 SUNDOWN BLVD",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762108032",
            "telephone_number": "202-210-8726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1537 PENMAN RD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "32250",
            "telephone_number": "202-210-8726"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Uss Theodore Roosevelt",
            "address_2": "CVN 71",
            "address_purpose": "LOCATION",
            "city": "FPO",
            "state": "AE",
            "postal_code": "095992871",
            "country_code": "US",
            "telephone_number": "757-443-7415",
            "country_name": "United States",
            "address_type": "MIL"
        },
        {
            "address_1": "3201 Teasley Ln Ste 201",
            "address_purpose": "LOCATION",
            "city": "Denton",
            "state": "TX",
            "postal_code": "762108304",
            "country_code": "US",
            "telephone_number": "940-387-1101",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FREEMAN",
        "first_name": "COLLEEN",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-11-26",
        "last_updated": "2022-06-15",
        "certification_date": "2021-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "34933",
            "primary": true
        },
        {
            "code": "171000000X",
            "taxonomy_group": "",
            "desc": "Military Health Care Provider",
            "state": "TX",
            "license": "1252236",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2022; 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.