Active NPI
Patti Lynn Freimuth, D.T
- Developmental Therapist
- Louisa, VA
National Provider Identifier
1609094689
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmental Therapist
- License
- PF55380307P
- Practice address
- 1793 Evergreen Rd
Louisa, VA 23093-2953 - Phone
- (217) 519-1589
- NPI assigned
- Apr 23, 2007
- Last updated
- Sep 10, 2009
- 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 |
|---|---|---|---|---|
| Developmental Therapist | 222Q00000X | PF55380307P | IL | Primary |
Addresses
Primary practice location
1793 Evergreen Rd
Louisa, VA 23093-2953
Mailing address
1793 Evergreen Rd
Louisa, VA 23093-2953
Phone (217) 519-1589
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 |
|---|---|---|---|
| PF55380307P | IL | MD | Developmental Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177286400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1252540800000",
"number": "1609094689",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1793 EVERGREEN RD",
"city": "LOUISA",
"state": "VA",
"postal_code": "230932953",
"telephone_number": "217-519-1589"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1793 EVERGREEN RD",
"city": "LOUISA",
"state": "VA",
"postal_code": "230932953",
"telephone_number": "217-519-1589"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FREIMUTH",
"first_name": "PATTI",
"middle_name": "LYNN",
"name_prefix": "Mrs.",
"credential": "D.T",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-23",
"last_updated": "2009-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "222Q00000X",
"taxonomy_group": "",
"desc": "Developmental Therapist",
"state": "IL",
"license": "PF55380307P",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Louisa, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.