Individual provider Active NPI

David L Toburen, PT

  • Physical Therapist
  • Dacula, GA
National Provider Identifier
1427000892
Registry record updated Aug 14, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
P1004866 Issued in GA
Practice address
3026 Overlook Hill Pass
Dacula, GA 30019-5105
Phone
(678) 376-7547
NPI assigned
May 16, 2006
Last updated
Aug 14, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X P1004866 GA Primary

Addresses

Primary practice location

3026 Overlook Hill Pass
Dacula, GA 30019-5105

Mailing address

3026 Overlook Hill Pass
Dacula, GA 30019-5105
Phone (678) 376-7547

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040206000427 GA Practitioner - Physical Therapist in Private Practice 2365335973 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aegis Group Practice LLCGroup PAC ID 5193036432, 399 clinicians
The Weston Group IncGroup PAC ID 8123936796, 215 clinicians

Practice addresses (Care Compare)

4055 Suwanee Dam Rd
Suwanee, GA 30024-4948
Phone (770) 315-1349

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
P1004866GAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Chatham Orthopaedic Associates PA PastSince Jan 1, 1990 Accepting new patients
Chatham Orthopaedic Associates, PA PastSince Jan 1, 1990 Accepting new patients
Chatham Orthopaedic Associates, PA PastSince Jan 1, 1990 Accepting new patients
Chatham Orthopaedic Associates, PA PastSince Jan 1, 1990 Accepting new patients
Chatham Orthopaedic Associates, PA PastSince Jan 1, 1990 Accepting new patients
Chatman Orthopaedics Associates, PA PastSince Jan 1, 1990 Accepting new patients
Chatham Orthopaedic Associates, PA PastSince Jan 1, 1990 Accepting new patients
Chatham Orthopaedic Associates, PA PastSince Jan 1, 1990 Accepting new patients
Chatham Orthopaedic and Associates PastSince Jan 1, 1990 Accepting new patients

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1187049600000",
    "number": "1427000892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3026 OVERLOOK HILL PASS",
            "city": "DACULA",
            "state": "GA",
            "postal_code": "300195105",
            "telephone_number": "678-376-7547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3026 OVERLOOK HILL PASS",
            "city": "DACULA",
            "state": "GA",
            "postal_code": "300195105",
            "telephone_number": "678-376-7547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOBUREN",
        "first_name": "DAVID",
        "middle_name": "L",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-16",
        "last_updated": "2007-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "P1004866",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dacula, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.