Organization Active NPI

Freedom Physio LLC

  • Physical Therapy Clinic/Center
  • St Augustine, FL
National Provider Identifier
1508433715
Registry record updated Jun 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
FREEDOM PHYSIO LLC
Practice address
101 Liberty Center PL
St Augustine, FL 32092-0919
Phone
(904) 392-1715
NPI assigned
Jun 7, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2021

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

Authorized official

Name
Eric T Uveges, PT, DPTNPI 1699285908
Title
Owner/Physical Therapist
Phone
(410) 409-5447

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

101 Liberty Center PL
St Augustine, FL 32092-0919

Mailing address

23 San Briso Way
St Augustine, FL 32092-3117
Phone (410) 409-5447

Other practice location 1

23 San Briso Way
St Augustine, FL 32092-3117
Phone (410) 409-5447

National Provider Directory

National Provider Directory

Locations

101 Liberty Center Pl
Saint Augustine, FL 32092
Phone (904) 201-9601

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1623024000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623024000000",
    "number": "1508433715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 SAN BRISO WAY",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320923117",
            "telephone_number": "410-409-5447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 LIBERTY CENTER PL",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320920919",
            "telephone_number": "904-392-1715"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "23 San Briso Way",
            "address_purpose": "LOCATION",
            "city": "St Augustine",
            "state": "FL",
            "postal_code": "320923117",
            "country_code": "US",
            "telephone_number": "410-409-5447",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FREEDOM PHYSIO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-07",
        "last_updated": "2021-06-07",
        "certification_date": "2021-06-07",
        "status": "A",
        "authorized_official_last_name": "UVEGES",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER/PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "410-409-5447",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Augustine, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 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.

Verify at the official NPI Registry.