Individual provider Active NPI

Rawlda Freeman, PT

  • Physical Therapist
  • Temple Hills, MD
National Provider Identifier
1659649820
Registry record updated May 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
4467 Old Branch Ave Ste 103
Temple Hills, MD 20748-1854
Phone
(301) 358-6155
Fax
(301) 423-1440
NPI assigned
Dec 2, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 3, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X Primary

Addresses

Primary practice location

4467 Old Branch Ave Ste 103
Temple Hills, MD 20748-1854

Mailing address

4467 Old Branch Ave Ste 103
Temple Hills, MD 20748-1854
Phone (301) 358-6155

Other practice location 1

4483 Forbes Blvd Ste A
Lanham, MD 20706-4377
Phone (240) 467-5732

Other names 1

  • N/a N/a N/a Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181024000315 DC Practitioner - Physical Therapist in Private Practice 1052570330 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gatekeeper Enterprises, LLCGroup PAC ID 0345382594, 2 clinicians

Practice addresses (Care Compare)

4467 Old Branch Ave
Suite 103
Temple Hills, MD 20748-1854
Phone (301) 358-6155

4483 Forbes Blvd
Suite a
Lanham, MD 20706-4377
Phone (240) 467-5732

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
26856MDMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Gatekeeper Enterprises, LLC Physical Therapist CurrentSince Sep 6, 2018 Accepting new patients
Gatekeeper Enterprises, LLC Physical Therapist CurrentSince Sep 6, 2018 Accepting new patients
South Metro Rehab and Sports Medicine, LLC PastSince Dec 31, 2011 Accepting new patients

Locations

4483 Forbes Blvd
Ste A
Lanham, MD 20706
Phone (240) 467-5732

4467 Old Branch Ave
Ste 103
Temple Hills, MD 20748
Phone (301) 358-6155

Organizations & group practices 3

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": "1322784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556841600000",
    "number": "1659649820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4467 OLD BRANCH AVE STE 103",
            "city": "TEMPLE HILLS",
            "state": "MD",
            "postal_code": "207481854",
            "telephone_number": "301-358-6155",
            "fax_number": "301-423-1440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4467 OLD BRANCH AVE STE 103",
            "city": "TEMPLE HILLS",
            "state": "MD",
            "postal_code": "207481854",
            "telephone_number": "301-358-6155",
            "fax_number": "301-423-1440"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4483 Forbes Blvd Ste A",
            "address_purpose": "LOCATION",
            "city": "Lanham",
            "state": "MD",
            "postal_code": "207064377",
            "country_code": "US",
            "telephone_number": "240-467-5732",
            "fax_number": "240-582-5746",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FREEMAN",
        "first_name": "RAWLDA",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-12-02",
        "last_updated": "2019-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "N/A",
            "last_name": "N/A",
            "middle_name": "N/A",
            "credential": "PT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Temple Hills, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2019; 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.