David F Brock, MSPT
Individual provider Active NPI Physical Therapist · Carmel, CA
NPI 1124040423 · NPPES record last updated Oct 11, 2011
Key facts
- NPI
- 1124040423
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- PT 17213 (CA)
- Practice address
- 26617 Carmel Center PL
Carmel, CA 93923-8655 - Phone
- (831) 622-0599
- Fax
- (831) 622-7599
- NPI assigned
- Jul 24, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 4
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Monterey Spine and Joint PC
Montage Surgical Group
Peninsula Sport Physical Therapy
Practice addresses (Care Compare)
12 Upper Ragsdale Dr
Monterey, CA 93940-5730
Phone (831) 648-7200
26625 Carmel Ctr PL
Carmel, CA 93923-8688
Phone (831) 648-7200
26625 Carmel Ctr PL
Suite 200
Carmel, CA 93923-8689
Phone (831) 622-0599
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20111215000894 | CA | Practitioner - Physical Therapist in Private Practice | 0042485278 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17213 | CA | MD | Addiction (Substance Use Disorder) Counselor |
| PT 17213 | CA | MD | Orthopedic Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Peninsula Sport Physical Therapy | Physical Therapist | Current |
Accepting new patients |
| Krpata Sports Therapy, Inc. | Physical Therapist | Past |
Accepting new patients |
| Monterey Spine & Joint PC | Past | Accepting new patients |
Locations
26625 Carmel Center Pl
Ste 200
Carmel, CA 93923
Phone (831) 622-0599
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT 17213 | CA | Yes |
| Orthopedic Physical Therapist | 2251X0800X | PT 17213 | CA |
Addresses
Primary practice location
26617 Carmel Center PL
Carmel, CA 93923-8655
Mailing address
26617 Carmel Center PL
Carmel, CA 93923-8655
Phone (831) 622-0599
Other providers in Carmel, CA
- Stephanie Suzanne Bouc
- Ashley Nichole Boyer
- Anjanette Day Brannon
- Maureen Beeton Brinkerhoff
- Shyla Broach
- William Wilson Brown Jr.
- Cheryl D Bryantbruce
- Bonnie Bufkin
- Lisa Dawn Burgard
- June Haerle Campbell
All providers in Carmel, CA · Physical Therapist in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 11, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.