David Fennell, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

2097936 Issued in TX

Practice address

6211 Edloe St
Houston, TX 77005-2819

Phone

(713) 661-5800

Fax

(713) 661-5800

NPI assigned

Sep 3, 2014

Last updated

Sep 3, 2014By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1409702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1409702400000",
    "number": "1336549823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6211 EDLOE ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770052819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6211 EDLOE ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770052819",
            "telephone_number": "713-661-5800",
            "fax_number": "713-661-5800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FENNELL",
        "first_name": "DAVID",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-09-03",
        "last_updated": "2014-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "TX",
            "license": "2097936",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wei Feng, MD
• Yi Feng, M.D.
• Zihang Feng
• Jacqueline Ann Fenn, MD PHD
• Brianna Fennell
• Nicole Shay Fennell, MS, RDN, LD
• Alicia S Fennemore, MA, CCC-SLP
• Theresa Marie Fennessey, LMT
• Kae Marie Fenster, RD
• Olivia St Romain Fenstermaker, OTR

• Physical Therapy Assistant in Houston, TX
• Providers in Houston, TX by specialty
• Physical Therapy Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 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.