Organization Active NPI

Freedom Rehabilitation Enterprises LLC

  • Physical Therapy Clinic/Center
  • Naples, FL
National Provider Identifier
1669048708
Registry record updated Jun 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
FREEDOM REHABILITATION ENTERPRISES LLC
Practice address
2160 Golden Gate Blvd W
Naples, FL 34120-1858
Phone
(409) 828-1192
NPI assigned
May 30, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2021

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

Authorized official

Name
Madhura Palande, PT, MSK
Title
Ceo
Phone
(409) 828-1192

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

2160 Golden Gate Blvd W
Naples, FL 34120-1858

Mailing address

2160 Golden Gate Blvd W
Naples, FL 34120-1858

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1622332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623628800000",
    "number": "1669048708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2160 GOLDEN GATE BLVD W",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341201858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2160 GOLDEN GATE BLVD W",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341201858",
            "telephone_number": "409-828-1192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREEDOM REHABILITATION ENTERPRISES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-30",
        "last_updated": "2021-06-14",
        "certification_date": "2021-06-14",
        "status": "A",
        "authorized_official_last_name": "PALANDE",
        "authorized_official_first_name": "MADHURA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "409-828-1192",
        "authorized_official_credential": "PT, MSK"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naples, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 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.

Verify at the official NPI Registry.