KEVIN G FREDENBURG PT
NPI 1093906869
Physical Therapist in Jacksonville, FL

Active since August 07, 2007
2080 CHILD ST, JACKSONVILLE, FL 32214(904) 542-7375 Get Directions Write a Review

NPPES record last updated: August 15, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 15, 2022, May 10, 2017 (2 updates tracked since 2017).

About Kevin G Fredenburg Pt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KEVIN G FREDENBURG PT (NPI 1093906869) is an individual physical therapist in Jacksonville, Florida, licensed in Florida (27117) and active in the NPI registry since August 2007.

NPPES Registry Identity

NPI1093906869
Entity TypeIndividualMale
Primary Taxonomy225100000X
Provider Legal NameKEVIN G FREDENBURGCredential: PT
Location Address2080 CHILD STJacksonville, FL 32214-3328
Mailing Address77079 Cobblestone DrYulee, FL 32097-0645 · (530) 591-2820
Sole ProprietorYes
Enumeration DateAugust 7, 2007
Last NPPES UpdateAugust 15, 20222 updates tracked since enumeration
NPPES CertifiedAugust 15, 2022
NPI 1093906869 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
License Licensed in FL · 27117
Definition
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.
2080 CHILD ST, Jacksonville, FL 32214

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
100%63 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Military Health Care Provider (Independent Duty Corpsman)
2080 CHILD ST
JACKSONVILLE, FL 32214
Registered Nurse (Medical-Surgical)
2080 CHILD ST
JACKSONVILLE, FL 32214
Military Health Care Provider
2080 CHILD ST
JACKSONVILLE, FL 32214
Dentist (General Practice)
2080 CHILD ST
JACKSONVILLE, FL 32214
Advanced Practice Midwife
2080 CHILD ST
JACKSONVILLE, FL 32214
General Practice
2080 CHILD ST
JACKSONVILLE, FL 32214
Pharmacist
2080 CHILD ST
JACKSONVILLE, FL 32214
Psychologist (Clinical)
2080 CHILD ST
JACKSONVILLE, FL 32214

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kevin Fredenburg's NPI number?

The NPI number for Kevin Fredenburg is 1093906869. It was assigned to this individual provider in the NPPES registry on August 7, 2007.

Where is Kevin Fredenburg located?

Kevin Fredenburg practices at 2080 Child St, Jacksonville, FL 32214. The listed phone number is (904) 542-7375.

What is Kevin Fredenburg's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

When was this NPI record last updated?

The NPPES record for Kevin Fredenburg was last updated on August 15, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.