David Spencer Garner II, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA30866 Issued in FL

Practice address

26455 S Tamiami TRL
Bonita Springs, FL 34134-7815

Phone

(239) 949-7555

NPI assigned

Jun 22, 2019

Last updated

Feb 11, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1561161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613001600000",
    "number": "1477114353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10900 LEGACY GATEWAY CIR UNIT 103",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339132643",
            "telephone_number": "573-489-5397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26455 S TAMIAMI TRL",
            "city": "BONITA SPRINGS",
            "state": "FL",
            "postal_code": "341347815",
            "telephone_number": "239-949-7555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARNER",
        "first_name": "DAVID",
        "middle_name": "SPENCER",
        "name_prefix": "Mr.",
        "name_suffix": "II",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-06-22",
        "last_updated": "2021-02-11",
        "certification_date": "2021-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "FL",
            "license": "PTA30866",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "selectrehab",
            "affiliation": "N",
            "endpointDescription": "Secure location",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "9300 W Ballard Rd",
            "city": "Des Plaines",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600164904",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Patrick P Fung, BSPHARM
• Patricia Galvin
• William Gambrell
• Grethel Garcia Perez
• Teddy Garcia
• Garth B. McCaffrey DDS PA
• Paul Leslie Gaspar, MINISTER
• Dimitrios G Gatis, DMD
• Ramesh Babu Gattu, PHARMACIST
• Elizabeth M Gearing, O.D.

• Physical Therapy Assistant in Bonita Springs, FL
• Providers in Bonita Springs, FL by specialty
• Physical Therapy Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2021; 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.