NPIMap

Organization Active NPI

Palm Tree Podiatry PLLC

  • Prosthetic/Orthotic Supplier
  • Palm Coast, FL
National Provider Identifier
1922871326
Registry record updated Nov 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
PALM TREE PODIATRY PLLC
Doing business as
Palm Tree Podiatry
Practice address
800 Belle Terre Pkwy Ste 112
Palm Coast, FL 32164-2315
Phone
(386) 777-7311
Fax
(386) 777-7312
NPI assigned
Nov 7, 2023
Organization subpart
Yes
Parent organization
PALM TREE PODIATRY PLLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 7, 2023

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

Authorized official

Name
Dr. Eric William Freiler, DPMNPI 1811379605
Title
Owner
Phone
(386) 777-7311

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetic/Orthotic Supplier 335E00000X Primary

Addresses

Primary practice location

800 Belle Terre Pkwy Ste 112
Palm Coast, FL 32164-2315

Mailing address

800 Belle Terre Pkwy Ste 112
Palm Coast, FL 32164-2315
Phone (386) 777-7311

Other identifiers 1

IdentifierTypeStateIssuer
117482200MedicaidFL

Other names 1

  • Palm Tree Podiatry Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Palm Tree Podiatry PLLC2 organizations share this tax ID, including this one
Part of
Palm Tree Podiatry PLLC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1699315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699315200000",
    "number": "1922871326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 BELLE TERRE PKWY STE 112",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321642315",
            "telephone_number": "386-777-7311",
            "fax_number": "386-777-7312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 BELLE TERRE PKWY STE 112",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321642315",
            "telephone_number": "386-777-7311",
            "fax_number": "386-777-7312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALM TREE PODIATRY PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PALM TREE PODIATRY PLLC",
        "enumeration_date": "2023-11-07",
        "last_updated": "2023-11-07",
        "certification_date": "2023-11-07",
        "status": "A",
        "authorized_official_last_name": "FREILER",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "386-777-7311",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "117482200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Palm Tree Podiatry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Palm Coast, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2023; 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.