Jennifer Lanier Freeman, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT011115 Issued in GA

Practice address

619 Edgewood Ave SE
Suite T103
Atlanta, GA 30312-1987

Phone

(404) 883-2304

NPI assigned

Aug 3, 2013

Sex

Female

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

Enrolled in GA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2013

Medicare assignment

May accept Medicare assignment

Group practices

Intown Physical Therapy, LLCGroup PAC ID 4688817703, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Intown Physical Therapy, LLC

  • Physical Therapist
  • Atlanta, GA
  • NPI 1346683588
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1375488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486080000000",
    "number": "1649602483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "619 EDGEWOOD AVE",
            "address_2": "SUITE T103",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "30033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "619 EDGEWOOD AVE SE",
            "address_2": "SUITE T103",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303121987",
            "telephone_number": "404-883-2304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREEMAN",
        "first_name": "JENNIFER",
        "middle_name": "LANIER",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-03",
        "last_updated": "2017-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT011115",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher Freeman, LPC
• Daniel Andrew Freeman, MD
• Deandrea Freeman
• George Thomas Freeman Jr., D.C.
• James Aaron Freeman, PT
• John F Freeman, AA
• Kaitlyn Marie Freeman, PA-C
• Kavon Dominick Freeman
• Kayla Sondria Freeman
• Leonard F Freeman III, BS

• Physical Therapist in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Physical Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2017; 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.

Verify at the official NPI Registry.