Freedom Prosthetic & Orthotics, LLC

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

FREEDOM PROSTHETIC & ORTHOTICS, LLC

Practice address

2202 N Main St Ste 102
Cedar City, UT 84721-9772

Phone

(435) 383-9000

Fax

(435) 673-3747

NPI assigned

Apr 26, 2022

Organization subpart

No

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

Authorized official

Name

Peter Fjeldsted, CP

Title

Owner/Manager

Phone

(435) 688-9338

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in UT

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Freedom Prosthetic & Orthotics, LLC

  • Prosthetic/Orthotic Supplier
  • St George, UT
  • NPI 1992226302

  1850637265

  Same PAC ID

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

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

{
    "created_epoch": "1650931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1650931200000",
    "number": "1710621669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "356 E 600 S",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847703949",
            "telephone_number": "435-688-9338",
            "fax_number": "435-673-3747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2202 N MAIN ST STE 102",
            "city": "CEDAR CITY",
            "state": "UT",
            "postal_code": "847219772",
            "telephone_number": "435-383-9000",
            "fax_number": "435-673-3747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREEDOM PROSTHETIC & ORTHOTICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-26",
        "last_updated": "2022-04-26",
        "certification_date": "2022-04-26",
        "status": "A",
        "authorized_official_last_name": "FJELDSTED",
        "authorized_official_first_name": "PETER",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "435-688-9338",
        "authorized_official_credential": "CP"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Randy Joe Forsyth, P.T.
• Tori B Forsyth, P.T.
• Shanda Laree Francisco, CADC II
• Tenille Snow Francisco, PHARMD
• Diego Franco Avila
• Fresenius Medical Care Cedar City, LLC
• Morgan Brianne Frisbie, ATC
• Royal William Fryer, CMHC
• Monica Fuller
• Brian Keith Fullerton

• Prosthetic/Orthotic Supplier in Cedar City, UT
• Providers in Cedar City, UT by specialty
• Prosthetic/Orthotic Supplier in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.