Active NPI
David Jay Dockswell, MPT
- Physical Therapist
- Boca Raton, FL
National Provider Identifier
1265619092
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT19164
- Practice address
- 10823 Tea Olive LN
Boca Raton, FL 33498-4846 - Phone
- (561) 901-5599
- Fax
- (561) 218-0117
- NPI assigned
- Jan 23, 2008
- Sex
- Male
- Sole proprietor
- Yes
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 | PT19164 | FL | Primary |
Addresses
Primary practice location
10823 Tea Olive LN
Boca Raton, FL 33498-4846
Mailing address
10823 Tea Olive LN
Boca Raton, FL 33498-4846
Phone (561) 901-5599
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PT19164 | Other | FL | PT LICENSE |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| United Outreach 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 and National Provider Directory roles.
-
- Physical Therapist
- Coral Springs, FL
- NPI 1942319884
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1201046400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1201046400000",
"number": "1265619092",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10823 TEA OLIVE LN",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334984846",
"telephone_number": "561-901-5599",
"fax_number": "561-218-0117"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10823 TEA OLIVE LN",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334984846",
"telephone_number": "561-901-5599",
"fax_number": "561-218-0117"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOCKSWELL",
"first_name": "DAVID",
"middle_name": "JAY",
"name_prefix": "Mr.",
"credential": "MPT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-01-23",
"last_updated": "2008-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT19164",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PT LICENSE",
"identifier": "PT19164",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Boca Raton, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.