Active NPI
Renee S Fruhwirth, P.T
- Physical Therapist
- Sanford, FL
National Provider Identifier
1982886362
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT18576
- Practice address
- 1200 Lexington Green LN
Sanford, FL 32771-1013 - Phone
- (407) 688-0070
- Fax
- (407) 688-0071
- NPI assigned
- Nov 28, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT18576 | FL | Primary |
| Geriatric Physical Therapist | 2251G0304X | PT18576 | FL | |
| Orthopedic Physical Therapist | 2251X0800X | PT18576 | FL |
Addresses
Primary practice location
1200 Lexington Green LN
Sanford, FL 32771-1013
Mailing address
1200 Lexington Green LN
Sanford, FL 32771-1013
Phone (407) 688-0070
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT18576 | FL | MD | Orthopedic Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Premier Rehabilitation PLLC | Physical Therapist | Current | Accepting new patients |
| Sobe Innovative Rehabilitation PLLC | Physical Therapist | Current | Accepting new patients |
| Florida Luna Care Physical Therapy LLC | Physical Therapist | Current | Accepting new patients |
| Central Florida Physical Therapy | Physical Therapist | Past | Accepting new patients |
Locations
2777 NE 183rd St
Aventura, FL 33160
Phone (305) 405-2014
5011 Gate Pkwy
Ste 100
Jacksonville, FL 32256
Phone (904) 326-3627
755 Monroe Rd
Unit 470738
Lake Monroe, FL 32747
Phone (678) 469-5003
Networks
- Freedom Health HMO Network
Organizations & group practices 4
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.
-
- Physical Therapist
- Jacksonville, FL
- NPI 1114542032
-
- Speech-Language Pathologist
- Sanford, FL
- NPI 1396379442
Physical Therapist
-
- Physical Therapist
- Miami, FL
- NPI 1164800595
-
- Physical Therapist
- Casselberry, FL
- NPI 1154592046
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1196208000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1196208000000",
"number": "1982886362",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1200 LEXINGTON GREEN LN",
"city": "SANFORD",
"state": "FL",
"postal_code": "327711013",
"telephone_number": "407-688-0070",
"fax_number": "407-688-0071"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 LEXINGTON GREEN LN",
"city": "SANFORD",
"state": "FL",
"postal_code": "327711013",
"telephone_number": "407-688-0070",
"fax_number": "407-688-0071"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRUHWIRTH",
"first_name": "RENEE",
"middle_name": "S",
"credential": "P.T",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-11-28",
"last_updated": "2007-11-28",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT18576",
"primary": true
},
{
"code": "2251G0304X",
"taxonomy_group": "",
"desc": "Physical Therapist, Geriatrics",
"state": "FL",
"license": "PT18576",
"primary": false
},
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "FL",
"license": "PT18576",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sanford, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.