Individual provider Active NPI

David A Bass, PT, DPT

  • Physical Therapist
  • Powhatan, VA
National Provider Identifier
1003833609
Registry record updated Jul 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2305203855 Issued in VA
Practice address
1565 Oakbridge Dr Ste C
Powhatan, VA 23139-8070
Phone
(804) 372-8000
Fax
(888) 972-4875
NPI assigned
Jul 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 2305203855 VA Primary

Addresses

Primary practice location

1565 Oakbridge Dr Ste C
Powhatan, VA 23139-8070

Mailing address

1565 Oakbridge Dr Ste C
Powhatan, VA 23139-8070
Phone (804) 372-8000

Other practice location 1

32 Broad St Rd
Tuckahoe Physical Therapy
Manakin Sabot, VA 23103
Phone (804) 598-8680

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Tuckahoe Physical Therapy Corp Physical Therapist Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563753600000",
    "number": "1003833609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1565 OAKBRIDGE DR STE C",
            "city": "POWHATAN",
            "state": "VA",
            "postal_code": "231398070",
            "telephone_number": "804-372-8000",
            "fax_number": "888-972-4875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1565 OAKBRIDGE DR STE C",
            "city": "POWHATAN",
            "state": "VA",
            "postal_code": "231398070",
            "telephone_number": "804-372-8000",
            "fax_number": "888-972-4875"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "32 Broad St Rd",
            "address_2": "Tuckahoe Physical Therapy",
            "address_purpose": "LOCATION",
            "city": "Manakin Sabot",
            "state": "VA",
            "postal_code": "23103",
            "country_code": "US",
            "telephone_number": "804-598-8680",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BASS",
        "first_name": "DAVID",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-17",
        "last_updated": "2019-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305203855",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Powhatan, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.