Individual provider Active NPI

Jennifer Freeman, DPT, PT

  • Physical Therapist
  • Wyncote, PA
National Provider Identifier
1720732050
Registry record updated Feb 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT030167 Issued in PA
Practice address
1000 Easton Rd Ste 207
Wyncote, PA 19095-2900
Phone
(215) 517-7551
NPI assigned
Feb 6, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT030167 PA Primary

Addresses

Primary practice location

1000 Easton Rd Ste 207
Wyncote, PA 19095-2900

Mailing address

4265 Minnie LN
Hatboro, PA 19040-2510
Phone (215) 429-3110

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220225000510 PA Practitioner - Physical Therapist in Private Practice 8224422878 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fox Rehabilitation Services IncGroup PAC ID 0143133009, 1,169 clinicians
Willow Grove Physical Therapy LLCGroup PAC ID 0749189256, 22 clinicians

Practice addresses (Care Compare)

1122 Hwy 315 Blvd
Wilkes Barre, PA 18702-6943
Phone (877) 407-3422

470 N Lewis Rd
Bon Homie LTD Adult Day Center
Limerick, PA 19468-1511
Phone (610) 792-8800

55 N York Rd
Suite 100
Hatboro, PA 19040-3149
Phone (215) 394-5116

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT030167PAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Willow Grove Physical Therapy, LLC Physical Therapist CurrentSince Mar 1, 2023 Accepting new patients
Fox Rehabilitation Services Inc Physical Therapist CurrentSince Dec 1, 2025 Accepting new patients
Rehabclinics Galaxy Inc PastSince Feb 13, 2022 Accepting new patients

Locations

875 N Easton Rd
Glenside, PA 19038
Phone (215) 277-5552

55 N York Rd
Ste 100
Hatboro, PA 19040
Phone (215) 394-5116

470 N Lewis Rd
Limerick, PA 19468
Phone (610) 792-8800

1122 Highway 315 Blvd
Wilkes Barre, PA 18702
Phone (877) 407-4322

2325 Maryland Rd
Ste 205
Willow Grove, PA 19090
Phone (215) 586-3772

Organizations & group practices 3

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": "1644105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644364800000",
    "number": "1720732050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4265 MINNIE LN",
            "city": "HATBORO",
            "state": "PA",
            "postal_code": "190402510",
            "telephone_number": "215-429-3110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 EASTON RD STE 207",
            "city": "WYNCOTE",
            "state": "PA",
            "postal_code": "190952900",
            "telephone_number": "215-517-7551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREEMAN",
        "first_name": "JENNIFER",
        "credential": "DPT, PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-06",
        "last_updated": "2022-02-09",
        "certification_date": "2022-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT030167",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wyncote, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 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.