Individual provider Active NPI

David Anthony Eldridge, D.P.T.

  • Physical Therapist
  • St Augustine, FL
National Provider Identifier
1013319540
Registry record updated Feb 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT29455 Issued in FL
Practice address
1 Orthopaedic PL
St Augustine, FL 32086-4202
Phone
(904) 825-0540
Fax
(904) 825-2490
NPI assigned
Sep 16, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 20, 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 PT29455 FL Primary

Addresses

Primary practice location

1 Orthopaedic PL
St Augustine, FL 32086-4202

Mailing address

1 Orthopaedic PL
St Augustine, FL 32086-4202
Phone (321) 759-4902

Other practice location 1

7800 Point Meadows Dr
Apartment 238
Jacksonville, FL 32256-4606
Phone (321) 759-4902

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

NPI Registry JSON

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

{
    "created_epoch": "1410825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550620800000",
    "number": "1013319540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 ORTHOPAEDIC PL",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320864202",
            "telephone_number": "321-759-4902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 ORTHOPAEDIC PL",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320864202",
            "telephone_number": "904-825-0540",
            "fax_number": "904-825-2490"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7800 Point Meadows Dr",
            "address_2": "Apartment 238",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322564606",
            "country_code": "US",
            "telephone_number": "321-759-4902",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ELDRIDGE",
        "first_name": "DAVID",
        "middle_name": "ANTHONY",
        "name_prefix": "Dr.",
        "credential": "D.P.T.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-09-16",
        "last_updated": "2019-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT29455",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Augustine, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 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.