Active NPI
David W Sparks, PT
- Physical Therapist
- Schertz, TX
National Provider Identifier
1306325287
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1108249
- Practice address
- 3491 Scarlet Rose
Schertz, TX 78154-3645 - Phone
- (210) 659-7176
- NPI assigned
- Aug 10, 2018
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1108249 | TX | Primary |
Addresses
Primary practice location
3491 Scarlet Rose
Schertz, TX 78154-3645
Mailing address
3491 Scarlet Rose
Schertz, TX 78154-3645
Phone (210) 659-7176
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1108249 | Other | TX | 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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1108249 | TX | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1533859200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1533859200000",
"number": "1306325287",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3491 SCARLET ROSE",
"city": "SCHERTZ",
"state": "TX",
"postal_code": "781543645",
"telephone_number": "210-659-7176"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3491 SCARLET ROSE",
"city": "SCHERTZ",
"state": "TX",
"postal_code": "781543645",
"telephone_number": "210-659-7176"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPARKS",
"first_name": "DAVID",
"middle_name": "W",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-08-10",
"last_updated": "2018-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1108249",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PT LICENSE",
"identifier": "1108249",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Schertz, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.