David W Candy, PT, DPT, OCS, ATC
Individual provider Active NPI Physical Therapist · Manchester, MO
NPI 1457587206 · NPPES record last updated Aug 19, 2022
Key facts
- NPI
- 1457587206
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 2013038162 (MO)
- Practice address
- 14585 Manchester Rd
Manchester, MO 63011-3963 - Phone
- (314) 941-3970
- Fax
- (314) 931-1352
- NPI assigned
- Jun 8, 2009
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- University of Pittsburgh School of Medicine, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
14585 Manchester Rd
Manchester, MO 63011-3963
Phone (314) 941-3970
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MO
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170207002917 | MO | Practitioner - Physical Therapist in Private Practice | 3577846088 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2013038162 | MO | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Movement 4 Life Physical Therapy, LLC | Physical Therapist | Current |
Accepting new patients |
Locations
47 Nationalway Shopping Ctr
Manchester, MO 63011
Phone (314) 941-3970
14585 Manchester Rd
Manchester, MO 63011
Phone (314) 941-3970
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 2013038162 | MO | Yes |
| Athletic Trainer | 2255A2300X | 2013037334 | MO |
Addresses
Primary practice location
14585 Manchester Rd
Manchester, MO 63011-3963
Mailing address
14585 Manchester Rd
Manchester, MO 63011-3963
Phone (314) 941-3970
Other practice location 1
47 Nationalway Shopping Ctr
Manchester, MO 63011
Phone (314) 941-3970
Other providers in Manchester, MO
- Bryan Watanabe DDS Manchester Dental Group, PC
- Kimberly Burnell
- Emily Hohn Busch
- Rosemarie Ann Buza
- Kristen Ann Campbell
- Care for You Home Care LLC
- Tyler Gerard Carron
- Jeffrey Cavanaugh
- Cathy Chambliss
- CM Kinney and Associates, LLC
All providers in Manchester, MO · Physical Therapist in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 19, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.