Palm Tree Podiatry PLLC

Primary specialty

Podiatric Clinic/CenterTaxonomy code 261QP1100X

Legal business name

PALM TREE PODIATRY PLLC

Practice address

800 Belle Terre Pkwy Ste 112
Palm Coast, FL 32164-2315

Phone

(386) 777-7311

Fax

(386) 777-7312

NPI assigned

Jun 24, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Eric W Freiler, DPMNPI 1811379605

Title

Owner

Phone

(631) 838-8057

Specialties & licenses 4

Addresses

Other names 1

• Palm Tree Podiatry Doing business as

Medicare fee-for-service enrollment

Enrolled in FL2 enrollments

Enrollment records 2

Tax ID family

Palm Tree Podiatry PLLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Palm Tree Podiatry PLLC

  • Prosthetic/Orthotic Supplier
  • Palm Coast, FL
  • NPI 1922871326
  NPD tax ID

Locations

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Palm Tree Podiatry PLLC

  • Prosthetic/Orthotic Supplier
  • Palm Coast, FL
  • NPI 1922871326
  NPPES parent name

Practitioners 2

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

• Eric William Freiler, DPM

  • Primary Podiatric Medicine Podiatrist
  • Palm Coast, FL
  • NPI 1811379605

  Single Specialty

  Medicare reassignment NPD Authorized official
• Charles Edward Faulk, DPM

  • Podiatrist
  • Palm Coast, FL
  • NPI 1679420012
  NPD

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

{
    "created_epoch": "1656028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699401600000",
    "number": "1699407130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 BELLE TERRE PKWY STE 112",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321642315",
            "telephone_number": "386-777-7311",
            "fax_number": "386-777-7312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 BELLE TERRE PKWY STE 112",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321642315",
            "telephone_number": "386-777-7311",
            "fax_number": "386-777-7312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALM TREE PODIATRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-24",
        "last_updated": "2023-11-08",
        "certification_date": "2023-11-08",
        "status": "A",
        "authorized_official_last_name": "FREILER",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "631-838-8057",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "213EP1101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Podiatric",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Palm Tree Podiatry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Palm Coast Recovery Center LLC
• Palm Coast Sports Medicine and Rehab
• Palm Coast Surgery Center LLC
• Palm Harbor Family Practice and Walk in Clinic PA
• Palm Harbor Orthopedics PA
• Palm Tree Podiatry PLLC
• Joseph Palmer, DO
• Natalie M Palmer
• Pampered Parents, Alf, Inc.
• Angelica Paneto

• Podiatric Clinic/Center in Palm Coast, FL
• Providers in Palm Coast, FL by specialty
• Podiatric Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.