New Freedom Physical Therapy, LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

NEW FREEDOM PHYSICAL THERAPY, LLC

Practice address

33 Rolling Hills Ranch LN
Port Deposit, MD 21904-1257

Phone

(443) 267-2622

NPI assigned

Oct 5, 2022

Organization subpart

No

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

Authorized official

Name

Michael Tellup

Title

Business Manager

Phone

(410) 652-7230

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.

• Lisa Tellup, P.T.

  • Physical Therapist
  • Towson, MD
  • NPI 1548338734
  NPD

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

{
    "created_epoch": "1664928000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664928000000",
    "number": "1689399396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "946 CHESAPEAKE DR",
            "city": "HAVRE DE GRACE",
            "state": "MD",
            "postal_code": "210783628",
            "telephone_number": "410-652-7230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 ROLLING HILLS RANCH LN",
            "city": "PORT DEPOSIT",
            "state": "MD",
            "postal_code": "219041257",
            "telephone_number": "443-267-2622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW FREEDOM PHYSICAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-05",
        "last_updated": "2022-10-05",
        "certification_date": "2022-10-05",
        "status": "A",
        "authorized_official_last_name": "TELLUP",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "410-652-7230"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michaela Mitchem Linn, LCSW-C
• Live Ur Best Life,
• Jane Caffrey McKown, M.S., LCPC
• Allison Nicole Moberly, LCPC
• Nehama Moran, NP
• New Neuro Pathways
• Next Day Mobility LLC
• Noleksmar Ventures LLC
• Shenicka O'Brien, NP
• Point of You Counseling LLC

• Physical Therapy Clinic/Center in Port Deposit, MD
• Providers in Port Deposit, MD by specialty
• Physical Therapy Clinic/Center in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 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.