Active NPI
David John Nachtigal, PT/RCP
- Physical Therapist
- Hiawatha, KS
National Provider Identifier
1295739795
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1100497
- Practice address
- 700 Oregon St
Hiawatha, KS 66434-2232 - Phone
- (785) 742-7606
- Fax
- (785) 742-4490
- NPI assigned
- Jun 13, 2005
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1100497 | KS | Primary |
| Physical Therapist | 225100000X | 321 | NE | |
| Certified Respiratory Therapist | 227800000X | 16-00580 | KS |
Addresses
Primary practice location
700 Oregon St
Hiawatha, KS 66434-2232
Mailing address
700 Oregon St
Hiawatha, KS 66434-2232
Phone (785) 742-7606
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100397240A | Medicaid | KS |
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 |
|---|---|---|---|
| 16-00580 | KS | MD | Certified Respiratory Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Personal Care, Inc. | Current | Accepting new patients | |
| Personal Care, Inc. | Current | Accepting new patients |
Locations
700 Oregon St
Hiawatha, KS 66434
Phone (785) 742-7495
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 and National Provider Directory roles.
-
- Oxygen Equipment & Supplies (DME)
- Hiawatha, KS
- NPI 1255335741
-
- Oxygen Equipment & Supplies (DME)
- Falls City, NE
- NPI 1902185416
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118620800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1418860800000",
"number": "1295739795",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "700 OREGON ST",
"city": "HIAWATHA",
"state": "KS",
"postal_code": "664342232",
"telephone_number": "785-742-7606",
"fax_number": "785-742-4490"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 OREGON ST",
"city": "HIAWATHA",
"state": "KS",
"postal_code": "664342232",
"telephone_number": "785-742-7606",
"fax_number": "785-742-4490"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NACHTIGAL",
"first_name": "DAVID",
"middle_name": "JOHN",
"credential": "PT/RCP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-13",
"last_updated": "2014-12-18",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "KS",
"license": "1100497",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NE",
"license": "321",
"primary": false
},
{
"code": "227800000X",
"taxonomy_group": "",
"desc": "Respiratory Therapist, Certified",
"state": "KS",
"license": "16-00580",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100397240A",
"state": "KS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hiawatha, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.