Active NPI
David Todd Denham, P. T.
- Physical Therapist
- Austin, TX
National Provider Identifier
1043422173
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1088714
- Practice address
- 12429 Scofield Farms Dr
Austin, TX 78758-2640 - Phone
- (512) 339-8687
- Fax
- (512) 339-8687
- NPI assigned
- May 3, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1088714 | TX | Primary |
Addresses
Primary practice location
12429 Scofield Farms Dr
Austin, TX 78758-2640
Mailing address
1702 S Main St
Georgetown, TX 78626-7924
Phone (512) 863-9229
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1088714 | TX | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178150400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1043422173",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1702 S MAIN ST",
"city": "GEORGETOWN",
"state": "TX",
"postal_code": "786267924",
"telephone_number": "512-863-9229",
"fax_number": "512-339-8687"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12429 SCOFIELD FARMS DR",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787582640",
"telephone_number": "512-339-8687",
"fax_number": "512-339-8687"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DENHAM",
"first_name": "DAVID",
"middle_name": "TODD",
"name_prefix": "Mr.",
"credential": "P. T.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-03",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1088714",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.