Active NPI
Laura Diane Freemon, PT
- Physical Therapist
- Summerville, SC
National Provider Identifier
1679595789
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT 3488
- Practice address
- 10040 Dorchester Rd Ste 106&107
Summerville, SC 29485-8533 - Phone
- (843) 875-4770
- Fax
- (843) 875-4396
- NPI assigned
- Jul 25, 2006
- Last updated
- Oct 3, 2023
- Sex
- Female
- Sole proprietor
- No
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 Therapist | 225100000X | PT 3488 | TN | Primary |
Addresses
Primary practice location
10040 Dorchester Rd Ste 106&107
Summerville, SC 29485-8533
Mailing address
790 Remington Blvd
Bolingbrook, IL 60440-4909
Phone (866) 370-8206
Other practice location 1
3754 Murfreesboro Pike
Antioch, TN 37013-3878
Phone (629) 888-5170
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 86.49 of 100
- Quality
- 89.43
- Improvement activities
- 40
- Cost
- 74.33
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1831 | SC | MD | Registered Dietitian |
| PT 3488 | TN | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153785600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1696291200000",
"number": "1679595789",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "790 REMINGTON BLVD",
"city": "BOLINGBROOK",
"state": "IL",
"postal_code": "604404909",
"telephone_number": "866-370-8206",
"fax_number": "517-435-3670"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10040 DORCHESTER RD STE 106&107",
"city": "SUMMERVILLE",
"state": "SC",
"postal_code": "294858533",
"telephone_number": "843-875-4770",
"fax_number": "843-875-4396"
}
],
"practiceLocations": [
{
"address_1": "3754 Murfreesboro Pike",
"address_purpose": "LOCATION",
"city": "Antioch",
"state": "TN",
"postal_code": "370133878",
"country_code": "US",
"telephone_number": "629-888-5170",
"fax_number": "629-888-5174",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FREEMON",
"first_name": "LAURA",
"middle_name": "DIANE",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-25",
"last_updated": "2023-10-03",
"certification_date": "2023-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TN",
"license": "PT 3488",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Summerville, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.