Organization Active NPI

Freedom Prosthetic & Orthotics, LLC

  • Prosthetic/Orthotic Supplier
  • St George, UT
National Provider Identifier
1992226302
Registry record updated Aug 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
FREEDOM PROSTHETIC & ORTHOTICS, LLC
Practice address
356 E 600 S
St George, UT 84770-3949
Phone
(435) 688-9338
Fax
(435) 673-3747
NPI assigned
Jul 6, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2026

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

Authorized official

Name
Mr. Peter Fjeldsted, CP
Title
Owner
Phone
(435) 688-9338

Specialties & licenses 1

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

Addresses

Primary practice location

356 E 600 S
St George, UT 84770-3949

Mailing address

356 E 600 S
St George, UT 84770-3949
Phone (435) 688-9338

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190107000644 UT DME Supplier - Prosthetic PersonnelDME Supplier - Orthotic Personnel 1850637265 Practice locations: St George, UT

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Freedom Prosthetic & Orthotics, LLC356 E 600 S, St George, UT 84770-39494356889338889337 Contracture Treatment Devices: Dynamic Splint|Pneumatic Compression Devices and/or Supplies|Orthoses: Custom Fabricated|Orthoses: Prefabricated (Non-Custom Fabricated)|Orthoses: Off-The-Shelf|Limb Prostheses|Surgical Dressings|Diabetic Shoes and Inserts|Diabetic Shoes/Inserts - Custom Does not accept assignmentParticipating since Aug 1, 2019

National Provider Directory

National Provider Directory

Locations

356 E 600 S
St George, UT 84770
Phone (435) 688-9338

NPI Registry JSON

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

{
    "created_epoch": "1499299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786665600000",
    "number": "1992226302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "356 E 600 S",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847703949",
            "telephone_number": "435-688-9338",
            "fax_number": "435-673-3747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "356 E 600 S",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847703949",
            "telephone_number": "435-688-9338",
            "fax_number": "435-673-3747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREEDOM PROSTHETIC & ORTHOTICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-06",
        "last_updated": "2026-08-14",
        "certification_date": "2026-08-14",
        "status": "A",
        "authorized_official_last_name": "FJELDSTED",
        "authorized_official_first_name": "PETER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "435-688-9338",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CP"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St George, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.