Active NPI
David Charles Bock, PT
- Physical Therapist
- New Orleans, LA
National Provider Identifier
1366419228
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 04987
- Practice address
- Naval Support Activity
New Orleans, LA 70142-0001 - Phone
- (504) 678-2400
- NPI assigned
- Feb 28, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 | 04987 | LA | Primary |
Addresses
Primary practice location
Naval Support Activity
New Orleans, LA 70142-0001
Mailing address
1224 Saint Michael Dr
Harvey, LA 70058-2513
Phone (504) 347-9255
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141084800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1366419228",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1224 SAINT MICHAEL DR",
"city": "HARVEY",
"state": "LA",
"postal_code": "700582513",
"telephone_number": "504-347-9255"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "NAVAL SUPPORT ACTIVITY",
"city": "NEW ORLEANS",
"state": "LA",
"postal_code": "701420001",
"telephone_number": "504-678-2400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOCK",
"first_name": "DAVID",
"middle_name": "CHARLES",
"name_prefix": "Mr.",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-02-28",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "LA",
"license": "04987",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New Orleans, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.