Active NPI
Taegan Brianne Freeman, AAS-PTA
- Physical Therapy Assistant
- Midwest City, OK
National Provider Identifier
1497412506
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 3475
- Practice address
- 101 N Post Rd Ste a
Midwest City, OK 73130-3605 - Phone
- (405) 397-3550
- Fax
- (405) 455-6505
- NPI assigned
- Nov 23, 2021
- Last updated
- Nov 23, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 3475 | OK | Primary |
Addresses
Primary practice location
101 N Post Rd Ste a
Midwest City, OK 73130-3605
Mailing address
812 Lincoln St
Seminole, OK 74868-3838
Phone (405) 380-6262
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
| License | State | Type | Specialty |
|---|---|---|---|
| 3475 | OK | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anmxv LLC | Current | Accepting new patients |
Locations
101 N Post Rd
#A
Oklahoma City, OK 73130
Phone (405) 397-3550
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": "1637625600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1637625600000",
"number": "1497412506",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "812 LINCOLN ST",
"city": "SEMINOLE",
"state": "OK",
"postal_code": "748683838",
"telephone_number": "405-380-6262"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 N POST RD STE A",
"city": "MIDWEST CITY",
"state": "OK",
"postal_code": "731303605",
"telephone_number": "405-397-3550",
"fax_number": "405-455-6505"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FREEMAN",
"first_name": "TAEGAN",
"middle_name": "BRIANNE",
"credential": "AAS-PTA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-11-23",
"last_updated": "2021-11-23",
"certification_date": "2021-11-18",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "OK",
"license": "3475",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Midwest City, OK
- Kate Delaney Sander Frantz, M.S. CCC-SLP
- Amelia Fraser, LPC
- Willard Frazier Jr.
- Tieshia Frederick
- Dion Freeman, ED.S
- Christopher Alexander James French, SLPA
- Fresenius Medical Care Heritage Park, LLC (Fresenius Kidney Care Heritage Park)
- Chiquita Friday
- Andreia Marie Friemel, PTA
- Full Circle Youth and Family Services, PLLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.