Individual provider Active NPI

David Brewster

  • Physical Therapist
  • Stephens City, VA
National Provider Identifier
1295190445
Registry record updated Dec 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2305202087 Issued in VA
Practice address
414 Westmoreland Dr
Stephens City, VA 22655-2558
Phone
(540) 539-3453
NPI assigned
Dec 15, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 15, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 2305202087 VA Primary

Addresses

Primary practice location

414 Westmoreland Dr
Stephens City, VA 22655-2558

Mailing address

414 Westmoreland Dr
Stephens City, VA 22655-2558
Phone (540) 539-3453

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190426001237 VA Practitioner - Physical Therapist in Private Practice 9234471038 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Spine and Sport Physical Therapy PLLCGroup PAC ID 5698838704, 5 clinicians

Practice addresses (Care Compare)

640 Warrior Dr
Suite 115
Stephens City, VA 22655-4076
Phone (540) 868-9599

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2305202087VAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Spine & Sport Physical Therapy, PLLC Physical Therapist CurrentSince Jun 18, 2024 Accepting new patients

Locations

640 Warrior Dr
Ste 115
Stephens City, VA 22655
Phone (540) 868-9599

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1450137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1450137600000",
    "number": "1295190445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "414 WESTMORELAND DR",
            "city": "STEPHENS CITY",
            "state": "VA",
            "postal_code": "226552558",
            "telephone_number": "540-539-3453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "414 WESTMORELAND DR",
            "city": "STEPHENS CITY",
            "state": "VA",
            "postal_code": "226552558",
            "telephone_number": "540-539-3453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BREWSTER",
        "first_name": "DAVID",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-12-15",
        "last_updated": "2015-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305202087",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stephens City, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.