Individual provider Active NPI

David Herzberg, PT

  • Physical Therapist
  • Phoenix, AZ
National Provider Identifier
1013074210
Registry record updated Mar 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
6220 Issued in AZ
Practice address
1500 E Thomas Rd Ste 110
Phoenix, AZ 85014-5708
Phone
(480) 231-9527
NPI assigned
Jan 3, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 10, 2020

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 6220 AZ Primary

Addresses

Primary practice location

1500 E Thomas Rd Ste 110
Phoenix, AZ 85014-5708

Mailing address

1500 E Thomas Rd Ste 110
Phoenix, AZ 85014-5708
Phone (480) 231-9527

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
Launch Physical Therapy & Performance Center, LLC Physical Therapist Current Accepting new patients
Giardina Sportsmedicine Consultants, Inc. Physical Therapist PastSince Sep 6, 2005 Accepting new patients
Aris Health Corportation Physical Therapist PastSince Oct 28, 2005 Accepting new patients
Institute for Bone and Joint Disorders PC Past Accepting new patients
Olympic Physical Therapy, Inc Physical Therapist Past Accepting new patients
Canyon State Physical Therapy Physical Therapist Past Accepting new patients
Amurvel Physical Therapy Services PC Physical Therapist PastSince May 30, 2018 Accepting new patients

Locations

1500 E Thomas Rd
Ste 110
Phoenix, AZ 85014
Phone (480) 231-9527

Organizations & group practices 7

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": "1167782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583798400000",
    "number": "1013074210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 E THOMAS RD STE 110",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850145708",
            "telephone_number": "480-231-9527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 E THOMAS RD STE 110",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850145708",
            "telephone_number": "480-231-9527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERZBERG",
        "first_name": "DAVID",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-03",
        "last_updated": "2020-03-10",
        "certification_date": "2020-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "6220",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2020; 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.