David Bouy, PT

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

40QA01501200 Issued in NJ

Practice address

20 Banta PL
Ste 111
Hackensack, NJ 07601-5606

Phone

(509) 560-9406

Fax

(201) 334-9815

NPI assigned

Nov 18, 2013

Last updated

Jun 30, 2020By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1384732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593475200000",
    "number": "1205266814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1125",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076021125",
            "telephone_number": "509-560-9406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 BANTA PL",
            "address_2": "STE 111",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076015606",
            "telephone_number": "509-560-9406",
            "fax_number": "201-334-9815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOUY",
        "first_name": "DAVID",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-11-18",
        "last_updated": "2020-06-30",
        "certification_date": "2020-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "NJ",
            "license": "40QA01501200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Orthopedic Physical Therapist in Hackensack, NJ
• Providers in Hackensack, NJ by specialty
• Orthopedic Physical Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 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.