NPIMap

Organization Active NPI

Freedom Physical Therapy, Inc

Doing business as Freedom Physical Therapy

  • Physical Therapy Assistant
  • Granbury, TX
National Provider Identifier
1699716076
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
2042067 Issued in TX
Legal business name
FREEDOM PHYSICAL THERAPY, INC
Doing business as
Freedom Physical Therapy
Practice address
5310 Acton Hwy
Suite 106
Granbury, TX 76049-2948
Phone
(817) 326-1375
NPI assigned
Jun 9, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. John R McNaughton, P.T.A.NPI 1447294400
Title
Owner/Physical Therapist Asst.
Phone
(817) 326-1375

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 2042067 TX Primary

Addresses

Primary practice location

5310 Acton Hwy
Suite 106
Granbury, TX 76049-2948

Mailing address

5310 Acton Hwy
Suite 106
Granbury, TX 76049-2948
Phone (817) 326-1375

Other names 1

  • Freedom Physical Therapy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060509000826 TX Part B Supplier - Physical/Occupational Therapy Group in Private Practice 4789609801 Receives reassigned benefits from 11 practitioners
Practice locations: Granbury, TX

National Provider Directory

National Provider Directory

Locations

5310 Acton Hwy
Ste 106
Granbury, TX 76049
Phone (817) 326-1375

Practitioners & affiliated clinicians

Practitioners 16

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.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1149811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1699716076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5310 ACTON HWY",
            "address_2": "SUITE 106",
            "city": "GRANBURY",
            "state": "TX",
            "postal_code": "760492948",
            "telephone_number": "817-326-1375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5310 ACTON HWY",
            "address_2": "SUITE 106",
            "city": "GRANBURY",
            "state": "TX",
            "postal_code": "760492948",
            "telephone_number": "817-326-1375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREEDOM PHYSICAL THERAPY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MCNAUGHTON",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER/PHYSICAL THERAPIST ASST.",
        "authorized_official_telephone_number": "817-326-1375",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "P.T.A."
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "TX",
            "license": "2042067",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Freedom Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Granbury, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.