Individual provider Active NPI

David Preston Heuberger, MPT

  • Physical Therapist
  • Palmetto, FL
National Provider Identifier
1497815161
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT 22931 Issued in FL
Practice address
1401 8TH Ave W Ste a
Palmetto, FL 34221-3119
Phone
(941) 722-4000
Fax
(941) 722-4700
NPI assigned
Dec 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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 PT 22931 FL Primary

Addresses

Primary practice location

1401 8TH Ave W Ste a
Palmetto, FL 34221-3119

Mailing address

1401 8TH Ave W Ste a
Palmetto, FL 34221-3119
Phone (941) 722-4000

Other practice location 1

3440 W Dr Mlk Blvd
Suite 208
Tampa, FL 33607-6214
Phone (813) 879-2663

Other identifiers 2

IdentifierTypeStateIssuer
PT22931OtherFLSTATE OF FLORIDA
016466400MedicaidFL

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT 22931FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Fitness Quest - Venice LLC Physical Therapist PastSince Jan 13, 2025 Accepting new patients
Fitness Quest - Venice LLC Past Accepting new patients

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1497815161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 8TH AVE W STE A",
            "city": "PALMETTO",
            "state": "FL",
            "postal_code": "342213119",
            "telephone_number": "941-722-4000",
            "fax_number": "941-722-4700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 8TH AVE W STE A",
            "city": "PALMETTO",
            "state": "FL",
            "postal_code": "342213119",
            "telephone_number": "941-722-4000",
            "fax_number": "941-722-4700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3440 W Dr Mlk Blvd",
            "address_2": "Suite 208",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336076214",
            "country_code": "US",
            "telephone_number": "813-879-2663",
            "fax_number": "813-872-0286",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HEUBERGER",
        "first_name": "DAVID",
        "middle_name": "PRESTON",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-11",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT 22931",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF FLORIDA",
            "identifier": "PT22931",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "016466400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Palmetto, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.