| Freedom Physical Therapy & Sports Rehabilitation, Llc | |
|
6383 Kenai Spur Hwy, Kenai, AK 99611-8302 | |
| (907) 335-1155 | |
| (907) 335-1156 |
| Full Name | Freedom Physical Therapy & Sports Rehabilitation, Llc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 6383 Kenai Spur Hwy, Kenai, Alaska |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013318047 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 1092 (Alaska) | Primary |
| 225100000X | Physical Therapist | 1448 (Alaska) | Secondary |
| Provider Name | Todd E Pollock |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1891925632 PECOS PAC ID: 7911218169 Enrollment ID: I20150820009795 |
| Provider Name | Jonathan E Gates |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1346733169 PECOS PAC ID: 2860886660 Enrollment ID: I20220221001435 |
| Mailing Address | Practice Location Address |
|---|---|
| Freedom Physical Therapy & Sports Rehabilitation, Llc Po Box 1109, Kasilof, AK 99610-1109 Ph: (907) 335-1155 | Freedom Physical Therapy & Sports Rehabilitation, Llc 6383 Kenai Spur Hwy, Kenai, AK 99611-8302 Ph: (907) 335-1155 |
Mrs. Shawna Lynn Cooper, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 130 S Willow St Ste 1, Kenai, AK 99611 Phone: 907-714-4536 Fax: 907-283-7300 | |
Damon Paul Hastings, M.P.T., C.S.C.S. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 260 Caviar St, Suite A, Kenai, AK 99611 Phone: 907-283-9016 Fax: 907-283-8438 | |
Frontier Therapy Services Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 260 Caviar St, Ste A, Kenai, AK 99611 Phone: 907-258-8618 Fax: 907-563-9291 | |
Dr. Leon Anthony Richard, PT, DPT, OCS, MSPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 100 Trading Bay Rd, Suite 8, Kenai, AK 99611 Phone: 907-335-2490 Fax: 907-335-1956 | |
Mr. Michael Eck Reischach, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 150 N Willow St Ste 15, Kenai, AK 99611 Phone: 907-283-2765 Fax: 907-283-2765 | |
Alicia Marie Connolly, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 220 Main Street Loop, Kenai, AK 99611 Phone: 907-335-1020 |