David R Root D C P T LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

4983811 Issued in NY

Legal business name

DAVID R ROOT D C P T LLC

Practice address

338 Central Ave
Dunkirk, NY 14048-2100

Phone

(716) 366-2229

Fax

(716) 366-7874

NPI assigned

Dec 19, 2011

Organization subpart

No

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

Authorized official

Name

David R Root DC PT, DC PT

Title

Owner

Phone

(716) 366-2229

Specialties & licenses 2

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Joel David Newburg, D.C.

  • Chiropractor
  • Dunkirk, NY
  • NPI 1093292534
  NPD (past)

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

{
    "created_epoch": "1324252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1324252800000",
    "number": "1306115407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "338 CENTRAL AVE",
            "address_2": "PO BOX 70",
            "city": "DUNKIRK",
            "state": "NY",
            "postal_code": "140482100",
            "telephone_number": "716-366-2229",
            "fax_number": "716-366-7874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "338 CENTRAL AVE",
            "city": "DUNKIRK",
            "state": "NY",
            "postal_code": "140482100",
            "telephone_number": "716-366-2229",
            "fax_number": "716-366-7874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID R ROOT D C P T LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-19",
        "last_updated": "2011-12-19",
        "status": "A",
        "authorized_official_last_name": "ROOT DC PT",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "716-366-2229",
        "authorized_official_credential": "DC  PT"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "5002477",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "4983811",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan Elizabeth Dalaba, LMSW
• Mary Damiano, MS, RD, CDN
• Daniel Brunenavs
• Daniel Brunenavs OD PLLC
• Subhash C Das, MD
• Louise Decosta-Bacher
• Alicia Marie Deering, LMSW
• Madilynn Hope Degolier, MS CCC SLP
• Deidra Women'S Medical Health Services, PC
• Kevin M. Denny, MD

• Physical Therapist in Dunkirk, NY
• Providers in Dunkirk, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2011; 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.