David W. Egbert, P.T.

Individual provider Active NPI Physical Therapist · Cameron Park, CA

NPI 1205934841 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1205934841
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapist 225100000X
License
PT29364 (CA)
Practice address
1060 Camerado Drive
Cameron Park, CA 95682-7600
Phone
(530) 676-7184
Fax
(530) 676-7138
NPI assigned
Sep 20, 2006
Sex
Male
Sole proprietor
No

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 and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
PT29364CAMDPhysical Therapist
29364CAMDCritical Care Registered Respiratory Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Cameron Park Physical Therapy Center, Inc. Physical Therapist Past
since Sep 2, 2001
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT29364 CA Yes

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

Other providers in Cameron Park, CA

All providers in Cameron Park, CA · Physical Therapist in California

Sources for this page

Verify at the official NPI Registry.