Individual provider Active NPI

Stephanie Freyre, PT

  • Physical Therapist
  • Coconut Grove, FL
National Provider Identifier
1851777833
Registry record updated Apr 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT 30409 Issued in FL
Practice address
2601 South Bayshore Drive
7TH Floor Garage
Coconut Grove, FL 33133
Phone
(305) 798-5612
NPI assigned
Aug 3, 2015
Last updated
Apr 5, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2018

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 PT 30409 FL Primary

Addresses

Primary practice location

2601 South Bayshore Drive
7TH Floor Garage
Coconut Grove, FL 33133

Mailing address

2601 S Bayshore Dr
7TH Floor
Coconut Grove, FL 33133-5417
Phone (305) 798-5612

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT 30409FLMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1438560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522886400000",
    "number": "1851777833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2601 S BAYSHORE DR",
            "address_2": "7TH FLOOR",
            "city": "COCONUT GROVE",
            "state": "FL",
            "postal_code": "331335417",
            "telephone_number": "305-798-5612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2601 SOUTH BAYSHORE DRIVE",
            "address_2": "7TH FLOOR GARAGE",
            "city": "COCONUT GROVE",
            "state": "FL",
            "postal_code": "33133",
            "telephone_number": "305-798-5612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREYRE",
        "first_name": "STEPHANIE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-03",
        "last_updated": "2018-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT 30409",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coconut Grove, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2018; 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.