KEVIN G FREDENBURG (PT) – Physical Therapist, NPI 1093906869

KEVIN G FREDENBURG (PT) is a healthcare provider. based in Yulee, Florida. specializing in Physical Therapist. They hold the professional credentials PT. They hold a License No. 27117 (FL). The NPI Number for KEVIN G FREDENBURG (PT) is 1093906869

Main info

Male
Sole Proprietor
Name
KEVIN G FREDENBURG (PT)
NPI
1093906869
Phone
(530) 591-2820
Address
77079 COBBLESTONE DR
Enumeration Date
7 August 2007
Last Update Date
15 August 2022
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience60
Completeness75
Years active:18State licenses:1Digital endpointsOther names

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Provider Addresses for KEVIN G FREDENBURG (PT)

  • 77079 COBBLESTONE DR

    YULEE, FL 320970645

    Phone: (530) 591-2820

    Type: Mailing

  • 9305, West Thomas Road, Phoenix, Maricopa County, Arizona, 85037, United States

    SUITE 150

    PHOENIX, AZ 850373328

    Phone: (623) 889-0111

    Fax: (623) 889-0410

    Type: Location

  • 2080 CHILD ST

    JACKSONVILLE, FL 322143328

    Phone: (904) 542-7375

    Type: Location

  • 1885, South 14th Street, Fernandina Beach, Nassau County, Florida, 32034, United States

    FERNANDINA BEACH, FL 320343033

    Phone: (904) 277-4449

    Fax: (904) 277-4177

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

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Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 32097)

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Reviews

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Frequently asked questions

Where can patients find KEVIN G FREDENBURG (PT)'s NPI?
You can confirm KEVIN G FREDENBURG (PT) with NPI 1093906869; it appears in the national provider directory.
Is KEVIN G FREDENBURG (PT)'s NPI currently valid?
The extract we use shows KEVIN G FREDENBURG (PT) as active.
What field does KEVIN G FREDENBURG (PT) work in?
You can think of KEVIN G FREDENBURG (PT) as practicing within Physical Therapist. Clinical services aligned with this taxonomy classification.
Where does public data place KEVIN G FREDENBURG (PT)?
The snapshot lists Yulee, Florida for KEVIN G FREDENBURG (PT); download NPPES for the complete set.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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