MEDICARE: FREEDOM PHYSICAL THERAPY AND FITNESS, PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225X00000X	Occupational Therapist
2	225100000X	Physical Therapist

General Provider Information

NPI Number	:	1750060760
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FREEDOM PHYSICAL THERAPY AND FITNESS, PLLC

Provider Business Mailing Address
First Line	:	1575 PINE RIDGE RD STE 4
Second Line	:
City	:	NAPLES
State	:	FL
Zip	:	34109-2108
Country	:	US
Telephone Number	:	239-438-1194
Fax Number	:

Provider Business Practice Location Address
First Line	:	1575 PINE RIDGE RD STE 4
Second Line	:
City	:	NAPLES
State	:	FL
Zip	:	34109-2108
Country	:	US
Telephone Number	:	239-438-1194
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	COLE RYAN
Credential	:	PT
Telephone Number	:	239-438-1194

Provider Enumeration Date	:	07/17/2023
Last Update Date	:	12/12/2025

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