Active NPI
Jeanette Freire, DPT
- Physical Therapist
- Miami, FL
National Provider Identifier
1699289140
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT33147
- Practice address
- 3860 SW 137TH Ave
Miami, FL 33175-6462 - Phone
- (305) 385-0168
- Fax
- (305) 385-0182
- NPI assigned
- Nov 20, 2017
- 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 | PT33147 | FL | Primary |
Addresses
Primary practice location
3860 SW 137TH Ave
Miami, FL 33175-6462
Mailing address
14291 SW 120TH St Ste 103
Miami, FL 33186-7287
Phone (305) 385-0168
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT33147 | FL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| B & V Thera Pro Associates Corp | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1511136000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1511136000000",
"number": "1699289140",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14291 SW 120TH ST STE 103",
"city": "MIAMI",
"state": "FL",
"postal_code": "331867287",
"telephone_number": "305-385-0168",
"fax_number": "305-385-0182"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3860 SW 137TH AVE",
"city": "MIAMI",
"state": "FL",
"postal_code": "331756462",
"telephone_number": "305-385-0168",
"fax_number": "305-385-0182"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FREIRE",
"first_name": "JEANETTE",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-11-20",
"last_updated": "2017-11-20",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT33147",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.