Dale W Freelan

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA20309 Issued in FL

Practice address

1000 W Moreno St
Pensacola, FL 32501-2316

Phone

(850) 434-4920

NPI assigned

Aug 3, 2017

Sex

Male

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

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

{
    "created_epoch": "1501718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1502150400000",
    "number": "1922523695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1222 DEMETER PL",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325063715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 W MORENO ST",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325012316",
            "telephone_number": "850-434-4920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREELAN",
        "first_name": "DALE",
        "middle_name": "W",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-08-03",
        "last_updated": "2017-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "FL",
            "license": "PTA20309",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charlotte Rose Frederickson, RPH
• Kenneth Alan Fredriksson, PHARMD
• Freedom Health and Wellness LLC
• Freedom to Go Inc.
• Freedom to Go, Inc.
• Aisha W Freeman, PHARMD
• Dustin Alexis Freeman, DO
• Matthew Freeman, FNP-BC
• Monica Mitchell Freeman, P.T.
• Terry L Freeman, HAS NBC

• Physical Therapy Assistant in Pensacola, FL
• Providers in Pensacola, FL by specialty
• Physical Therapy Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2017; 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.