Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kevin G Fredenburg, PT

Individual provider Physical Therapist · NPI 1093906869

Kevin G Fredenburg, PT is a Physical Therapist in Jacksonville, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2007
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

2080 Child St
Jacksonville, FL 32214-3328
Phone: (904) 542-7375
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 27117 (FL)

Record details

NPI number1093906869
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorYes
NPI enumeratedAugust 7, 2007
Last updated in NPPESAugust 15, 2022
Certification dateAugust 15, 2022

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