Jessica Freeman, OTR

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

115958 Issued in TX

Practice address

300 S Morgan St
Granbury, TX 76048-1956

Phone

(682) 205-3340

Fax

(682) 205-3342

NPI assigned

May 8, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• All About Rehab LLC

  dba Pediatric Rehab

  • Rehabilitation Clinic/Center
  • Weatherford, TX
  • NPI 1891819157
  NPD (past)

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

{
    "created_epoch": "1399507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458259200000",
    "number": "1750791075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3550 HULEN ST",
            "address_2": "STE D",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761076808",
            "telephone_number": "817-377-2535",
            "fax_number": "817-292-0572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 S MORGAN ST",
            "city": "GRANBURY",
            "state": "TX",
            "postal_code": "760481956",
            "telephone_number": "682-205-3340",
            "fax_number": "682-205-3342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREEMAN",
        "first_name": "JESSICA",
        "name_prefix": "Miss",
        "credential": "OTR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-05-08",
        "last_updated": "2016-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "TX",
            "license": "115958",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lindsey Fowler, LPC
• Betsy Marie Frederick, MMFT, LMFT ASSOCIATE
• Freedom 2 Go LLC
• Freedom Physical Therapy, Inc (Freedom Physical Therapy)
• Ashlie Freeman
• Tyrus R Frerking, DO
• Fresenius Medical Care Granbury, LLC (Fresenius Medical Care Granbury)
• Joseph Charles Fritz, PT
• Emily Funston, M.S. CCC-SLP
• G. Suzanne Goodchild D.O., P.a.

• Pediatric Occupational Therapist in Granbury, TX
• Providers in Granbury, TX by specialty
• Pediatric Occupational Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2016; 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.