Candice Freeman, OTD, MOT, OTR

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

112074 Issued in TX

Practice address

8355 Walnut Hill LN Ste 225a
Dallas, TX 75231-4241

Phone

(972) 685-2368

NPI assigned

Sep 17, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Modern Psychiatry, PA

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Longwood, FL
  • NPI 1225725690
  NPD

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

{
    "created_epoch": "1442448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595376000000",
    "number": "1992174254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 CALLAHAN DR",
            "city": "FORNEY",
            "state": "TX",
            "postal_code": "751265107",
            "telephone_number": "214-870-1473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8355 WALNUT HILL LN STE 225A",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752314241",
            "telephone_number": "972-685-2368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREEMAN",
        "first_name": "CANDICE",
        "name_prefix": "Dr.",
        "credential": "OTD, MOT, OTR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-09-17",
        "last_updated": "2020-07-22",
        "certification_date": "2020-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "TX",
            "license": "112074",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TX",
            "license": "112074",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laurie Freelove, LPC-S
• Andrew Freeman, M.D.
• Angela Rene Freeman, LMSW
• Athena Freeman, FNP-C
• Bailey Evans Freeman, CRNA
• Clay Alan Freeman, CRNA, DNP
• Colin Hamlin Freeman, DPT
• David Jack Freeman, CRNA
• Jennifer Crofford Freeman, M.D.
• Jennifer J Freeman, M.D.

• Occupational Therapist in Dallas, TX
• Providers in Dallas, TX by specialty
• Occupational Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2020; 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.