Individual provider Active NPI

David John Nachtigal, PT/RCP

  • Physical Therapist
  • Hiawatha, KS
National Provider Identifier
1295739795
Registry record updated Dec 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1100497 Issued in KS
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

Updated by the provider on Dec 18, 2014

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
100397240AMedicaidKS

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

LicenseStateTypeSpecialty
16-00580KSMDCertified Respiratory Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Personal Care, Inc. CurrentSince Jun 29, 1993 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.

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.

Verify at the official NPI Registry.