NPIMap

Organization Active NPI

David Physical Therapy and Sports Medicine Center Inc.

  • Physical Therapist
  • Pittsburgh, PA
National Provider Identifier
1003846825
Registry record updated Feb 24, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT006491L Issued in PA
Legal business name
DAVID PHYSICAL THERAPY AND SPORTS MEDICINE CENTER INC.
Practice address
433 Castle Shannon Blvd
Pittsburgh, PA 15234-1405
Phone
(412) 344-9044
NPI assigned
Jul 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2017

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

Authorized official

Name
Dr. Joseph M David, DPT, MS, PT,OCS,CSCSNPI 1992795793
Title
Owner/Therapist
Phone
(412) 344-9044

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X PT006491L PA Primary

Addresses

Primary practice location

433 Castle Shannon Blvd
Pittsburgh, PA 15234-1405

Mailing address

433 Castle Shannon Blvd
Pittsburgh, PA 15234-1405
Phone (412) 344-9044

Other identifiers 2

IdentifierTypeStateIssuer
1016074310001MedicaidPA
199055OtherPABLUE SHIELD GRP NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040511000180 PA Part B Supplier - Clinic/Group Practice 2466441845 Receives reassigned benefits from 9 practitioners
Practice locations: Canonsburg, PA; Pittsburgh, PA

National Provider Directory

National Provider Directory

Locations

1800 Main St
Ste 114
Canonsburg, PA 15317
Phone (412) 344-9044

433 Castle Shannon Blvd
Pittsburgh, PA 15234
Phone (412) 341-5464

Practitioners & affiliated clinicians

Practitioners 14

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487894400000",
    "number": "1003846825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "433 CASTLE SHANNON BLVD",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152341405",
            "telephone_number": "412-344-9044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "433 CASTLE SHANNON BLVD",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152341405",
            "telephone_number": "412-344-9044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID PHYSICAL THERAPY AND SPORTS MEDICINE CENTER INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-04",
        "last_updated": "2017-02-24",
        "status": "A",
        "authorized_official_last_name": "DAVID",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "412-344-9044",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT, MS, PT,OCS,CSCS"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT006491L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1016074310001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD GRP NUMBER",
            "identifier": "199055",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.