Active NPI
Austin A Freeburg
- Physical Medicine & Rehabilitation Physician
- Gering, NE
National Provider Identifier
1649838798
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- 1736
- Practice address
- 1270 10TH St Ste 101
Gering, NE 69341-3241 - Phone
- (308) 633-4440
- Fax
- (308) 633-4442
- NPI assigned
- Jun 4, 2019
- Last updated
- Jun 4, 2019
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | 1736 | NE | Primary |
Addresses
Primary practice location
1270 10TH St Ste 101
Gering, NE 69341-3241
Mailing address
1270 10TH St Ste 101
Gering, NE 69341-3241
Phone (308) 633-4440
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | afreeburg@hotmail.com |
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 |
|---|---|---|---|
| 1736 | NE | MD | Physical Medicine & Rehabilitation Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Elite Physical Therapy & Wellness, LLC | Single Specialty | Past | Accepting new patients |
| Elite Chiropractic & Wellness LLC | Single Specialty | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Therapist
- Scottsbluff, NE
- NPI 1609149483
Single Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1559606400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1559606400000",
"number": "1649838798",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1270 10TH ST STE 101",
"city": "GERING",
"state": "NE",
"postal_code": "693413241",
"telephone_number": "308-633-4440",
"fax_number": "308-633-4442"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1270 10TH ST STE 101",
"city": "GERING",
"state": "NE",
"postal_code": "693413241",
"telephone_number": "308-633-4440",
"fax_number": "308-633-4442"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FREEBURG",
"first_name": "AUSTIN",
"middle_name": "A",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-06-04",
"last_updated": "2019-06-04",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Medicine & Rehabilitation",
"state": "NE",
"license": "1736",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "afreeburg@hotmail.com",
"affiliation": "N",
"address_1": "1270 10th St Ste 101",
"city": "Gering",
"state": "NE",
"country_code": "US",
"postal_code": "693413241",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Gering, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.