Freedom Knee Scooter and Equipment Rental

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

102-715005 Issued in CA

Legal business name

FREEDOM KNEE SCOOTER AND EQUIPMENT RENTAL

Practice address

1020 McHenry Ave
Modesto, CA 95350-5437

Phone

(209) 408-8545

NPI assigned

May 12, 2017

Last updated

May 12, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Chris M Mead

Title

Cto

Phone

(209) 408-8545

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1494547200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1494547200000",
    "number": "1487181178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 MCHENRY AVE",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "95350",
            "telephone_number": "209-408-8545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 MCHENRY AVE",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953505437",
            "telephone_number": "209-408-8545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREEDOM KNEE SCOOTER AND EQUIPMENT RENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-12",
        "last_updated": "2017-05-12",
        "status": "A",
        "authorized_official_last_name": "MEAD",
        "authorized_official_first_name": "CHRIS",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CTO",
        "authorized_official_telephone_number": "209-408-8545",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": "102-715005",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Johnelle M Frazier
• Sheree D Frazier, R.A.S.
• Tala La-Fay Frazier, LCSW
• Fred Adams M.D. Inc
• Fred P. Guarcello, OD
• Allyson Freeman, HS DIPLOMA
• Ashley Freeman
• Derrick Brent Freeman
• Mary Beth Freeman
• Maureen Elhard Freeman, CNM NP

• Durable Medical Equipment & Medical Supplies in Modesto, CA
• Providers in Modesto, CA by specialty
• Durable Medical Equipment & Medical Supplies in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2017; 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.