Active NPI
Kurtis Richard Freund, ATC
- Athletic Trainer
- Mobile, AL
National Provider Identifier
1861458671
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 862
- Practice address
- 6904 Providence Park Dr S
Mobile, AL 36695-4600 - Phone
- (251) 639-2096
- Fax
- (251) 639-2711
- NPI assigned
- Apr 21, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 862 | AL | Primary |
Addresses
Primary practice location
6904 Providence Park Dr S
Mobile, AL 36695-4600
Mailing address
11574 County Road 54
Daphne, AL 36526-8444
Phone (251) 802-5915
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 862 | AL | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145577600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1861458671",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11574 COUNTY ROAD 54",
"city": "DAPHNE",
"state": "AL",
"postal_code": "365268444",
"telephone_number": "251-802-5915",
"fax_number": "251-639-2711"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6904 PROVIDENCE PARK DR S",
"city": "MOBILE",
"state": "AL",
"postal_code": "366954600",
"telephone_number": "251-639-2096",
"fax_number": "251-639-2711"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FREUND",
"first_name": "KURTIS",
"middle_name": "RICHARD",
"name_prefix": "Mr.",
"credential": "ATC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-21",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "AL",
"license": "862",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mobile, AL
- Fresenius Medical Care Mobile Area, LLC
- Fresenius Medical Care Mobile Area, LLC
- Fresenius Medical Care Mobile Area, LLC
- Fresenius Medical Care Mobile Area, LLC
- Fresenius Medical Care Mobile Area, LLC
- Vanessa Russell Fridge, O.T.
- Kristjan Ingi Fridriksson, PT
- Joan Friedlander, PT
- Joan Roberts Friedlander, D.M.D
- Phillip Alan Friedlander
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.