Active NPI
Gabe Freyaldenhoven, P.T.
- Physical Therapist
- Russellville, AR
National Provider Identifier
1609825975
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2252
- Practice address
- 2100 W Main St
Russellville, AR 72801-2758 - Phone
- (479) 968-2525
- Fax
- (479) 968-2538
- NPI assigned
- May 6, 2006
- Sex
- Male
- Sole proprietor
- No
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 Therapist | 225100000X | 2252 | AR | Primary |
Addresses
Primary practice location
2100 W Main St
Russellville, AR 72801-2758
Mailing address
2100 W Main St
Russellville, AR 72801-2758
Phone (479) 968-2525
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 662725 | Other | AR | HEALTHLINK |
| 5U687 | Other | AR | BLUE CROSS BLUE SHIELD |
| 71085780150 | Other | AR | QUALCHOICE |
| A002 | Other | AR | TRICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR, OK
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2100 W Main St
Russellville, AR 72801-2758
Phone (479) 968-2525
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2252 | AR | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| River Valley Therapy & Sports Medicine Inc | Physical Therapist | Current | Accepting new patients |
Locations
2100 W Main St
Russellville, AR 72801
Phone (479) 968-2525
1430 E Lincoln Rd
Idabel, OK 74745
Phone (580) 286-5160
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146873600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1609825975",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2100 W MAIN ST",
"city": "RUSSELLVILLE",
"state": "AR",
"postal_code": "728012758",
"telephone_number": "479-968-2525",
"fax_number": "479-968-2538"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2100 W MAIN ST",
"city": "RUSSELLVILLE",
"state": "AR",
"postal_code": "728012758",
"telephone_number": "479-968-2525",
"fax_number": "479-968-2538"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FREYALDENHOVEN",
"first_name": "GABE",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-06",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AR",
"license": "2252",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHLINK",
"identifier": "662725",
"state": "AR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "5U687",
"state": "AR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "QUALCHOICE",
"identifier": "71085780150",
"state": "AR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE",
"identifier": "A002",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Russellville, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.