Individual provider Active NPI

David Cagle, PT, DPT

  • Physical Therapist
  • Fairbanks, AK
National Provider Identifier
1467936781
Registry record updated Feb 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
188506 Issued in AK
Practice address
3745 Geist Rd
Fairbanks, AK 99709-3554
Phone
(907) 456-1112
NPI assigned
Sep 21, 2018
Last updated
Feb 21, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 1307089 TX
Physical Therapist 225100000X 60889517 WA
Physical Therapist 225100000X 188506 AK Primary

Addresses

Primary practice location

3745 Geist Rd
Fairbanks, AK 99709-3554

Mailing address

3745 Geist Rd
Fairbanks, AK 99709-3554

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, AK2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20190124003611 WA Practitioner - Physical Therapist in Private Practice 0840537197 Reassigns benefits to 2 organizations
I20220227000037 AK Practitioner - Physical Therapist in Private Practice 0840537197 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Select Physical Therapy Holdings IncGroup PAC ID 9537076401, 1,992 clinicians

Practice addresses (Care Compare)

220 Main St Loop
Unit a
Kenai, AK 99611-7724
Phone (907) 335-1020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
188506AKMDPhysical Therapist
1307089TXMDPhysical Therapist
60889517WAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Select Physical Therapy Holdings Inc CurrentSince Apr 1, 2024 Accepting new patients
Cascade Rehabilitation Associates, PLLC Physical Therapist CurrentSince Oct 1, 2018 Accepting new patients
Select Physical Therapy Holdings Inc CurrentSince Apr 1, 2024 Accepting new patients
Summit Rehabilitation PLLC Physical Therapist CurrentSince Oct 1, 2018 Accepting new patients
Adient Alaska, LLC Physical Therapist CurrentSince Feb 21, 2022 Accepting new patients
Select Physical Therapy Holdings Inc Physical Therapist Current Accepting new patients
Summit Rehabilitation PLLC Physical Therapist CurrentSince Oct 1, 2018 Accepting new patients
Cascade Rehabilitation Associates, PLLC Physical Therapist CurrentSince Oct 1, 2018 Accepting new patients
Alderwood Ankle & Foot Clinic P.S. PastSince Nov 21, 2021 Accepting new patients

Locations

1919 Lathrop St
Ste 123
Fairbanks, AK 99701
Phone (907) 290-3075

3745 Geist Rd
Fairbanks, AK 99709
Phone (907) 456-1112

220 Main Street Loop
#A
Kenai, AK 99611
Phone (907) 335-1020

10511 19th Ave SE
Ste B
Everett, WA 98208
Phone (425) 357-8885

9514 4th St NE
Unit 101
Lake Stevens, WA 98258
Phone (425) 397-2327

15906 Mill Creek Blvd
Ste 106
Mill Creek, WA 98012
Phone (425) 332-1030

111 S 12th St
Ste B
Mount Vernon, WA 98274
Phone (360) 419-0172

231 Avenue D
Snohomish, WA 98290
Phone (360) 563-1020

Organizations & group practices 9

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": "1537488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645401600000",
    "number": "1467936781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3745 GEIST RD",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997093554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3745 GEIST RD",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997093554",
            "telephone_number": "907-456-1112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAGLE",
        "first_name": "DAVID",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-09-21",
        "last_updated": "2022-02-21",
        "certification_date": "2022-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1307089",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "60889517",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AK",
            "license": "188506",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairbanks, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2022; 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.