Kwame Terrella Freeman, OTR/L

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

13195 Issued in NC

Practice address

210 Liberty Hill Rd
Lumberton, NC 28358-2442

Phone

(910) 272-9056

NPI assigned

Mar 17, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Guardian Angel Transportation

  • Non-emergency Medical Transport (VAN)
  • Hope Mills, NC
  • NPI 1831870344
  NPD Authorized official

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

{
    "created_epoch": "1584403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584489600000",
    "number": "1609402007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5343 PARKTON RD",
            "city": "HOPE MILLS",
            "state": "NC",
            "postal_code": "283488694",
            "telephone_number": "910-583-2676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 LIBERTY HILL RD",
            "city": "LUMBERTON",
            "state": "NC",
            "postal_code": "283582442",
            "telephone_number": "910-272-9056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREEMAN",
        "first_name": "KWAME",
        "middle_name": "TERRELLA",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-03-17",
        "last_updated": "2020-03-18",
        "certification_date": "2020-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "NC",
            "license": "13195",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melinda Quinn Frederick, LPC
• Laquanda Fredericks, MD
• Susan Fredriksen, MD
• Connie Rose Freeman, OGNP
• Farrin Honeycutt Freeman
• Ashley T. Froehlich, CCC-SLP
• Full Potential, LLC
• Carl Fuller II
• Beth Waiyego Gachuki
• Catherine Lyn Gaines, PA

• All providers in Lumberton, NC
• Pediatric Occupational Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2020; 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.