Active NPI
Jonathan Freeman
- Physical Therapist
- Warwick, RI
National Provider Identifier
1992196596
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PTA01014
- Practice address
- 215 Toll Gate Rd Ste 205
Warwick, RI 02886-4461 - Phone
- (401) 773-7272
- NPI assigned
- Feb 18, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PTA01014 | RI | Primary |
Addresses
Primary practice location
215 Toll Gate Rd Ste 205
Warwick, RI 02886-4461
Mailing address
1 Dwight St
Cranston, RI 02921-1126
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PTA01014 | Other | RI | STATE LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PTA01014 | RI | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1424217600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1424217600000",
"number": "1992196596",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 DWIGHT ST",
"city": "CRANSTON",
"state": "RI",
"postal_code": "029211126"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "215 TOLL GATE RD STE 205",
"city": "WARWICK",
"state": "RI",
"postal_code": "028864461",
"telephone_number": "401-773-7272"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FREEMAN",
"first_name": "JONATHAN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-02-18",
"last_updated": "2015-02-18",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "RI",
"license": "PTA01014",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "PTA01014",
"state": "RI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Warwick, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.