Individual provider Active NPI

David Walter Svetich, PT

  • Physical Therapist
  • San Luis Obispo, CA
National Provider Identifier
1073545711
Registry record updated Mar 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT21331 Issued in CA
Practice address
211 Tank Farm Rd Ste B
San Luis Obispo, CA 93401
Phone
(805) 714-5699
NPI assigned
Jul 6, 2006
Last updated
Mar 25, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 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 PT21331 CA Primary

Addresses

Primary practice location

211 Tank Farm Rd Ste B
San Luis Obispo, CA 93401

Mailing address

211 Tank Farm Rd Ste B
San Luis Obispo, CA 93401-7509
Phone (805) 714-5699

Other practice location 1

4869 S Bradley Rd
114
Santa Maria, CA 93455-5065
Phone (805) 938-5320

Other practice location 2

4869 S Bradley Rd
114
Santa Maria, CA 93455-5065
Phone (805) 938-5320

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100318000405 CA Practitioner - Physical Therapist in Private Practice 4587799366 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Precision Physical Therapy and Wellness Center, PCGroup PAC ID 1254665441, 8 clinicians

Practice addresses (Care Compare)

211 Tank Farm Rd
Suite a
San Luis Obispo, CA 93401-7509
Phone (805) 439-3900

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
21331CAMDAddiction (Substance Use Disorder) Counselor
PT21331CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Precision Physical Therapy and Wellness Center, PC Physical Therapist CurrentSince Feb 28, 2019 Accepting new patients
San Luis Physical Therapy & Orthopedic Rehabilitation Inc Physical Therapist Past Accepting new patients
Timothy H. Jones, M.D., Inc. PastSince Feb 28, 2019 Accepting new patients
San Luis Physical Therapy & Orthopedic Rehabilitation Inc Physical Therapist Past Accepting new patients

Locations

211 Tank Farm Rd
Ste B
San Luis Obispo, CA 93401
Phone (805) 714-5699

211 Tank Farm Rd
Ste A
Sn Luis Obisp, CA 93401
Phone (805) 439-3900

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553472000000",
    "number": "1073545711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 TANK FARM RD STE B",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934017509",
            "telephone_number": "805-714-5699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 TANK FARM RD STE B",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "93401",
            "telephone_number": "805-714-5699"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4869 S Bradley Rd",
            "address_2": "114",
            "address_purpose": "LOCATION",
            "city": "Santa Maria",
            "state": "CA",
            "postal_code": "934555065",
            "country_code": "US",
            "telephone_number": "805-938-5320",
            "fax_number": "805-938-5390",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4869 S Bradley Rd",
            "address_2": "114",
            "address_purpose": "LOCATION",
            "city": "Santa Maria",
            "state": "CA",
            "postal_code": "934555065",
            "country_code": "US",
            "telephone_number": "805-938-5320",
            "fax_number": "805-938-5390",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SVETICH",
        "first_name": "DAVID",
        "middle_name": "WALTER",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-06",
        "last_updated": "2019-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT21331",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Luis Obispo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.