Nadine Rose De Freitas, PT, DPT, ATC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT10558 Issued in FL

Practice address

220 N Sykes Creek Pkwy Ste 200
Merritt Island, FL 32953-3490

Phone

(321) 456-5214

Fax

(321) 521-1152

NPI assigned

Jan 15, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other names 1

• Mrs. Nadine Rose Queen Former name

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles (4 of 6)

Locations

Networks

• Optimum HealthCare HMO Network
• Freedom Health HMO Network

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Space Coast Orthopaedic Center PL

  • Orthopaedic Surgery Physician
  • Merritt Island, FL
  • NPI 1811900749

  FL

  Medicare reassignment NPD
• Ability Health Services and Rehabilitation LP

  • Rehabilitation Clinic/Center
  • Largo, FL
  • NPI 1376089649
  NPD (past)
• Ability Health Services, Inc

  • Durable Medical Equipment & Medical Supplies
  • Titusville, FL
  • NPI 1154415669
  NPD (past)
• Ability Health Services, Inc

  • Durable Medical Equipment & Medical Supplies
  • Orlando, FL
  • NPI 1992085302
  NPD (past)

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

{
    "created_epoch": "1168819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665705600000",
    "number": "1508917758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4209 GROVEWOOD LN",
            "city": "TITUSVILLE",
            "state": "FL",
            "postal_code": "327805914",
            "telephone_number": "321-385-1599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 N SYKES CREEK PKWY STE 200",
            "city": "MERRITT ISLAND",
            "state": "FL",
            "postal_code": "329533490",
            "telephone_number": "321-456-5214",
            "fax_number": "321-521-1152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE FREITAS",
        "first_name": "NADINE",
        "middle_name": "ROSE",
        "name_prefix": "Ms.",
        "credential": "PT, DPT, ATC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-15",
        "last_updated": "2022-10-14",
        "certification_date": "2022-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251S0007X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Sports",
            "state": "FL",
            "license": "PT10558",
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "FL",
            "license": "AL383",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT10558",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NADINE",
            "last_name": "QUEEN",
            "middle_name": "ROSE",
            "prefix": "MRS.",
            "credential": "PT, ATC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Cori Megan Daniels, NP
• Mary Ann Davidson, FNP-C
• Cheryl Day
• Malgorzata I Daye, BEHAVIOR ASSISTANT
• Cathy Ann De Bengson, A.P.
• Jennifer L Deforge, ARNP
• Stacey Dehn
• Destiny Dejesus
• Samuel Del Rio, M.D.
• Armando Francisco Delgado Jr., M.D.

• All providers in Merritt Island, FL
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.