Active NPI
David W. Egbert, P.T.
- Physical Therapist
- Cameron Park, CA
National Provider Identifier
1205934841
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT29364
- Practice address
- 1060 Camerado Drive
Cameron Park, CA 95682-7600 - Phone
- (530) 676-7184
- Fax
- (530) 676-7138
- NPI assigned
- Sep 20, 2006
- Last updated
- Jul 8, 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 | PT29364 | CA | Primary |
Addresses
Primary practice location
1060 Camerado Drive
Cameron Park, CA 95682-7600
Mailing address
1060 Camerado Drive
Cameron Park, CA 95682-7600
Phone (530) 676-7184
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT29364 | CA | MD | Physical Therapist |
| 29364 | CA | MD | Critical Care Registered Respiratory Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cameron Park Physical Therapy Center, Inc. | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Physical Therapist
- Cameron Park, CA
- NPI 1548368186
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1205934841",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1060 CAMERADO DRIVE",
"city": "CAMERON PARK",
"state": "CA",
"postal_code": "956827600",
"telephone_number": "530-676-7184",
"fax_number": "530-676-7138"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1060 CAMERADO DRIVE",
"city": "CAMERON PARK",
"state": "CA",
"postal_code": "956827600",
"telephone_number": "530-676-7184",
"fax_number": "530-676-7138"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EGBERT",
"first_name": "DAVID",
"middle_name": "W.",
"name_prefix": "Mr.",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "PT29364",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cameron Park, CA
- Discovery Psychotherapy Center, Inc.
- DNT in Home Care, Inc (Senior Helpers Cameron Park)
- Dr. Lauren Anderson .OD., Inc.
- Everett Brantley Dyer, M.D
- Wendy Zilch Dyer, M.D.
- El Dorado County Community Health Center (El Dorado Community Health Center Cameron Park Main)
- El Dorado County Community Health Center (El Dorado Community Health Center Cameron Park)
- El Dorado County Community Health Center (El Dorado Community Pharmacy)
- El Dorado Hematology and Medical Oncology
- Roberta Jean Esfandiarfard, R.EEGT
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.