Active NPI
Frederick Scott Freed, D.C.
- Rehabilitation Chiropractor
- St . Petersburg, FL
National Provider Identifier
1619049541
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Chiropractor
- License
- CH5113
- Practice address
- 1224 66TH St North
St . Petersburg, FL 33710 - Phone
- (727) 347-3400
- Fax
- (727) 347-0502
- NPI assigned
- Nov 15, 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 |
|---|---|---|---|---|
| Rehabilitation Chiropractor | 111NR0400X | CH5113 | FL | Primary |
Addresses
Primary practice location
1224 66TH St North
St . Petersburg, FL 33710
Mailing address
1224 66TH St North
St . Petersburg, FL 33710
Phone (727) 347-3400
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163548800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1611705600000",
"number": "1619049541",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1224 66TH ST NORTH",
"city": "ST . PETERSBURG",
"state": "FL",
"postal_code": "33710",
"telephone_number": "727-347-3400",
"fax_number": "727-347-0502"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1224 66TH ST NORTH",
"city": "ST . PETERSBURG",
"state": "FL",
"postal_code": "33710",
"telephone_number": "727-347-3400",
"fax_number": "727-347-0502"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FREED",
"first_name": "FREDERICK",
"middle_name": "SCOTT",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-15",
"last_updated": "2021-01-27",
"certification_date": "2021-01-27",
"status": "A"
},
"taxonomies": [
{
"code": "111NR0400X",
"taxonomy_group": "",
"desc": "Chiropractor, Rehabilitation",
"state": "FL",
"license": "CH5113",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in St . Petersburg, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 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.