Freedom Farm of Tampa Bay and Therapy Center

Primary specialty

ContractorTaxonomy code 171W00000X

Legal business name

FREEDOM FARM OF TAMPA BAY AND THERAPY CENTER

Practice address

8701 64TH St N
Pinellas Park, FL 33782-4704

Phone

(727) 204-7911

NPI assigned

Oct 16, 2025

Organization subpart

No

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

Authorized official

Name

Nicholas EllisNPI 1689387375

Title

Owner

Phone

(727) 204-7911

Specialties & licenses 1

Addresses

Practitioners 1

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

• Nicholas Ellis

  • Recreation Therapist
  • Pinellas Park, FL
  • NPI 1689387375
  NPD Authorized official

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

{
    "created_epoch": "1760572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760572800000",
    "number": "1740156785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8701 64TH ST N",
            "city": "PINELLAS PARK",
            "state": "FL",
            "postal_code": "337824704",
            "telephone_number": "727-204-7911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8701 64TH ST N",
            "city": "PINELLAS PARK",
            "state": "FL",
            "postal_code": "337824704",
            "telephone_number": "727-204-7911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREEDOM FARM OF TAMPA BAY AND THERAPY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-16",
        "last_updated": "2025-10-16",
        "certification_date": "2025-10-16",
        "status": "A",
        "authorized_official_last_name": "ELLIS",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "727-204-7911"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Contractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Evans Foxworthy II
• Frank P Franzese, M.D.
• Mia-Jeanne Frattino, MSW
• Aliyah Frazer
• Kaitlyn Free
• Patrice Elaine Fremlin
• Jodi Fuller, LMT
• Fun Behavioral Solutions LLC
• Emily Jane Futch, PH.D.
• Lauren Elaine Futral

• Contractor in Pinellas Park, FL
• Providers in Pinellas Park, FL by specialty
• Contractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2025; 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.