Freedom Physical Therapy & Performance

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

FREEDOM PHYSICAL THERAPY & PERFORMANCE

Practice address

1876 N Marketside Ave
Buckeye, AZ 85396-5493

Phone

(217) 808-1913

NPI assigned

Nov 25, 2022

Organization subpart

No

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

Authorized official

Name

Dylan N Webster

Title

Owner and Physical Therapist

Phone

(217) 808-1913

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jack Dylan Neal Webster, PT

  • Physical Therapist
  • Surprise, AZ
  • NPI 1932713286
  NPD

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

{
    "created_epoch": "1669334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1669334400000",
    "number": "1679283188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1876 N MARKETSIDE AVE",
            "city": "BUCKEYE",
            "state": "AZ",
            "postal_code": "853965493",
            "telephone_number": "217-808-1913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1876 N MARKETSIDE AVE",
            "city": "BUCKEYE",
            "state": "AZ",
            "postal_code": "853965493",
            "telephone_number": "217-808-1913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREEDOM PHYSICAL THERAPY & PERFORMANCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-25",
        "last_updated": "2022-11-25",
        "certification_date": "2022-11-24",
        "status": "A",
        "authorized_official_last_name": "WEBSTER",
        "authorized_official_first_name": "DYLAN",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "OWNER AND PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "217-808-1913"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Darnell Foster
• Meagan Foxx, FP
• FR5 Ventures, LLC
• Chelsea Fraunfelder
• Rosa Frazier
• Fresh Start Bone and Joint Institue
• Marie Ellen Fritz, MA-CCC-SLP
• Harrison Daniel Fryberg, D.D.S.
• Amber Renee Gaines
• Marina Galindo

• Physical Therapy Clinic/Center in Buckeye, AZ
• Providers in Buckeye, AZ by specialty
• Physical Therapy Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2022; 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.