Individual provider Active NPI

Renee S Fruhwirth, P.T

  • Physical Therapist
  • Sanford, FL
National Provider Identifier
1982886362
Registry record updated Nov 28, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT18576 Issued in FL
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

Updated by the provider on Nov 28, 2007

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

Enrollment IDStateProvider typePAC IDDetails
I20240326002917 FL Practitioner - Physical Therapist in Private Practice 5496192478 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT18576FLMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Rehabilitation PLLC Physical Therapist CurrentSince May 31, 2024 Accepting new patients
Sobe Innovative Rehabilitation PLLC Physical Therapist CurrentSince May 31, 2024 Accepting new patients
Florida Luna Care Physical Therapy LLC Physical Therapist CurrentSince Mar 13, 2024 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.

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.

Verify at the official NPI Registry.