Individual provider Active NPI

David D Erovick, PTA, ATC

  • Athletic Trainer
  • Vancouver, WA
National Provider Identifier
1457553208
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
Practice address
201 NE Park Plaza Dr.
#246
Vancouver, WA 98684-5874
Phone
(360) 696-1070
NPI assigned
Jun 4, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 07713 OR
Athletic Trainer 2255A2300X Primary

Addresses

Primary practice location

201 NE Park Plaza Dr.
#246
Vancouver, WA 98684-5874

Mailing address

425 NE 7TH Ave
Camas, WA 98607-2062
Phone (360) 901-5773

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

LicenseStateTypeSpecialty
07713ORMDPhysical Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1180915200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1457553208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 NE 7TH AVE",
            "city": "CAMAS",
            "state": "WA",
            "postal_code": "986072062",
            "telephone_number": "360-901-5773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 NE PARK PLAZA DR.",
            "address_2": "#246",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986845874",
            "telephone_number": "360-696-1070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EROVICK",
        "first_name": "DAVID",
        "middle_name": "D",
        "credential": "PTA, ATC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-04",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "OR",
            "license": "07713",
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vancouver, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.