Freedom Physical Therapy And Fitness, Pllc is a medicare enrolled "Physical Therapist" provider in Raymond, Illinois. Their current practice location is
10103 N 21st Ave, Raymond, Illinois. You can reach out to their office (for appointments etc.) via phone at
(217) 290-1520.
Freedom Physical Therapy And Fitness, Pllc is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Freedom Physical Therapy And Fitness, Pllc
is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1114776275.
Healthcare Provider's Profile
Full Name | Freedom Physical Therapy And Fitness, Pllc |
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Type | Facility |
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Speciality | Physical Therapist |
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Location | 10103 N 21st Ave, Raymond, Illinois |
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Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1114776275
- Provider Enumeration Date: 05/13/2024
- Last Update Date: 05/13/2024
Medicare PECOS Information:
- PECOS PAC ID: 9234675661
- Enrollment ID: O20240722003658
Medical Identifiers
Medical identifiers for Freedom Physical Therapy And Fitness, Pllc such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1114776275 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225100000X | Physical Therapist | (* (Not Available)) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Freedom Physical Therapy And Fitness, Pllc acts as a billing entity for following providers:
Provider Name | Rachael Mulch |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
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Provider Identifiers | NPI Number: 1992019541 PECOS PAC ID: 2264620764 Enrollment ID: I20240806003685 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Freedom Physical Therapy And Fitness, Pllc is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Freedom Physical Therapy And Fitness, Pllc 10103 N 21st Ave, Raymond, IL 62560-5155 Ph: () - | Freedom Physical Therapy And Fitness, Pllc 10103 N 21st Ave, Raymond, IL 62560-5155 Ph: (217) 290-1520 |
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