Provider Demographics
NPI:1235620352
Name:FREEDOM PHYSICAL THERAPY INC
Entity Type:Organization
Organization Name:FREEDOM PHYSICAL THERAPY INC
Other - Org Name:FYZICAL THERAPY AND BALANCE OF GROVE CITY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:TIMOTHY
Authorized Official - Middle Name:
Authorized Official - Last Name:EARMAN
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:724-992-9822
Mailing Address - Street 1:115 W HUNT DR
Mailing Address - Street 2:
Mailing Address - City:GROVE CITY
Mailing Address - State:PA
Mailing Address - Zip Code:16127-6394
Mailing Address - Country:US
Mailing Address - Phone:724-992-9822
Mailing Address - Fax:
Practice Address - Street 1:107 BRECKENRIDGE ST
Practice Address - Street 2:
Practice Address - City:GROVE CITY
Practice Address - State:PA
Practice Address - Zip Code:16127-1025
Practice Address - Country:US
Practice Address - Phone:724-992-9822
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-05-24
Last Update Date:2019-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT015063261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy