Organization Active NPI

Freeman Physical Therapy Group Inc

  • Physical Therapist
  • Riverton, UT
National Provider Identifier
1699811133
Registry record updated Jun 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1219322401 Issued in UT
Legal business name
FREEMAN PHYSICAL THERAPY GROUP INC
Practice address
3409 W 12600 South
# 230
Riverton, UT 84065
Phone
(801) 446-7171
Fax
(801) 446-7373
NPI assigned
Jan 30, 2007
Last updated
Jun 16, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2014

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

Authorized official

Name
Ms. Terri A Freeman
Title
Owner Manager
Phone
(801) 446-7171

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 1219322401 UT Primary

Addresses

Primary practice location

3409 W 12600 South
# 230
Riverton, UT 84065

Mailing address

3409 W 12600 S
#230
Riverton, UT 84065-7260
Phone (801) 446-7171

Other names 1

  • Kenneth A Freeman DPT Other name

National Provider Directory

National Provider Directory

Locations

3409 W 12600 S
Ste 230
Riverton, UT 84065
Phone (801) 252-6116

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402876800000",
    "number": "1699811133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3409 W 12600 S",
            "address_2": "#230",
            "city": "RIVERTON",
            "state": "UT",
            "postal_code": "840657260",
            "telephone_number": "801-446-7171",
            "fax_number": "801-446-7373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3409 W 12600 SOUTH",
            "address_2": "# 230",
            "city": "RIVERTON",
            "state": "UT",
            "postal_code": "84065",
            "telephone_number": "801-446-7171",
            "fax_number": "801-446-7373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREEMAN PHYSICAL THERAPY GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-30",
        "last_updated": "2014-06-16",
        "status": "A",
        "authorized_official_last_name": "FREEMAN",
        "authorized_official_first_name": "TERRI",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER MANAGER",
        "authorized_official_telephone_number": "801-446-7171",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "UT",
            "license": "1219322401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kenneth A Freeman DPT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Riverton, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2014; 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.