Freedom Medical,LLC

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

Legal business name

FREEDOM MEDICAL,LLC

Practice address

2236 Heimstead Rd
Eau Claire, WI 54703-4953

Phone

(715) 830-9600

Fax

(715) 833-8079

NPI assigned

Oct 9, 2007

Last updated

Aug 3, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Pauline R Perry, OTR/ATPNPI 1356536825

Title

Owner

Phone

(715) 830-6900

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Pauline R Perry, OTR

  • Occupational Therapist
  • Eau Claire, WI
  • NPI 1356536825
  NPD (past) Authorized official

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

{
    "created_epoch": "1191888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1312329600000",
    "number": "1679761225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2236 HEIMSTEAD RD",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547034953",
            "telephone_number": "715-830-9600",
            "fax_number": "715-833-8079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2236 HEIMSTEAD RD",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547034953",
            "telephone_number": "715-830-9600",
            "fax_number": "715-833-8079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREEDOM MEDICAL,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-09",
        "last_updated": "2011-08-03",
        "status": "A",
        "authorized_official_last_name": "PERRY",
        "authorized_official_first_name": "PAULINE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "715-830-6900",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "OTR/ATP"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1679761225",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alexandra Frawley, MD
• John Patrick Frawley, MD
• Aaron Frederick, RN
• Brian J Frederick, M.D.
• Nicole Lynn Fredrickson, RN
• Gil Freeman, MD
• James R. Freeman, DO
• Katherine French
• Mackenzie French
• Robert Allan Frie, O.D.

• Customized Equipment (DME) in Eau Claire, WI
• Providers in Eau Claire, WI by specialty
• Customized Equipment (DME) in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2011; 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.