NPIMap

Organization Active NPI

Freedom Physical Therapy & Fitness

  • Physical Therapy Clinic/Center
  • Universal City, TX
National Provider Identifier
1992323067
Registry record updated Jul 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
FREEDOM PHYSICAL THERAPY & FITNESS
Practice address
11471 E Loop 1604 N Ste 101
Universal City, TX 78148-3960
Phone
(210) 428-7845
NPI assigned
Jul 6, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2020

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

Authorized official

Name
Kathryn Nicole Fazio, PT, DPTNPI 1275966343
Title
Owner
Phone
(210) 428-7845

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

11471 E Loop 1604 N Ste 101
Universal City, TX 78148-3960

Mailing address

7601 Forest Vale
Live Oak, TX 78233-7217
Phone (607) 759-3792

National Provider Directory

National Provider Directory

Locations

11471 E Loop 1604 N
Ste 101
Universal City, TX 78148
Phone (210) 428-7845

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1593993600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1593993600000",
    "number": "1992323067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7601 FOREST VALE",
            "city": "LIVE OAK",
            "state": "TX",
            "postal_code": "782337217",
            "telephone_number": "607-759-3792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11471 E LOOP 1604 N STE 101",
            "city": "UNIVERSAL CITY",
            "state": "TX",
            "postal_code": "781483960",
            "telephone_number": "210-428-7845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREEDOM PHYSICAL THERAPY & FITNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-06",
        "last_updated": "2020-07-06",
        "certification_date": "2020-07-06",
        "status": "A",
        "authorized_official_last_name": "FAZIO",
        "authorized_official_first_name": "KATHRYN",
        "authorized_official_middle_name": "NICOLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "210-428-7845",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Universal City, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 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.