Organization Active NPI

Durable Medical Equipment Specialists

  • Physical Therapist
  • Davenport, FL
National Provider Identifier
1417316225
Registry record updated Feb 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT20492 Issued in FL
Legal business name
DURABLE MEDICAL EQUIPMENT SPECIALISTS
Practice address
104 Park Place Blvd
Suite B
Davenport, FL 33837-6866
Phone
(863) 547-9793
Fax
(863) 547-9794
NPI assigned
Feb 22, 2016
Last updated
Feb 22, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2016

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

Authorized official

Name
David KrawczykNPI 1689611253
Title
Owner / Officer
Phone
(407) 802-4514

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT20492 FL Primary

Addresses

Primary practice location

104 Park Place Blvd
Suite B
Davenport, FL 33837-6866

Mailing address

104 Park Place Blvd
Suite B
Davenport, FL 33837-6866
Phone (863) 547-9793

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1456099200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456099200000",
    "number": "1417316225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 PARK PLACE BLVD",
            "address_2": "SUITE B",
            "city": "DAVENPORT",
            "state": "FL",
            "postal_code": "338376866",
            "telephone_number": "863-547-9793",
            "fax_number": "863-547-9794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 PARK PLACE BLVD",
            "address_2": "SUITE B",
            "city": "DAVENPORT",
            "state": "FL",
            "postal_code": "338376866",
            "telephone_number": "863-547-9793",
            "fax_number": "863-547-9794"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DURABLE MEDICAL EQUIPMENT SPECIALISTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-22",
        "last_updated": "2016-02-22",
        "status": "A",
        "authorized_official_last_name": "KRAWCZYK",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "OWNER / OFFICER",
        "authorized_official_telephone_number": "407-802-4514"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT20492",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Davenport, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2016; 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.