Healthcare Provider Details

I. General information

NPI: 1750060760
Provider Name (Legal Business Name): FREEDOM PHYSICAL THERAPY AND FITNESS, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/17/2023
Last Update Date: 12/12/2025
Certification Date: 12/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1575 PINE RIDGE RD STE 4
NAPLES FL
34109-2108
US

IV. Provider business mailing address

1575 PINE RIDGE RD STE 4
NAPLES FL
34109-2108
US

V. Phone/Fax

Practice location:
  • Phone: 239-438-1194
  • Fax:
Mailing address:
  • Phone: 239-438-1194
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State

VIII. Authorized Official

Name: COLE RYAN
Title or Position: OWNER
Credential: PT
Phone: 239-438-1194