Individual provider Active NPI

David Christopher Harvitz, DPT

  • Orthopedic Physical Therapist
  • Santa Rosa, CA
National Provider Identifier
1508156548
Registry record updated Oct 24, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
PT33079 Issued in FL
Practice address
2798 Yulupa Ave
Suite #1
Santa Rosa, CA 95405-8570
Phone
(707) 527-4001
NPI assigned
Apr 11, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X PT33079 FL Primary

Addresses

Primary practice location

2798 Yulupa Ave
Suite #1
Santa Rosa, CA 95405-8570

Mailing address

728 N Ferdon Blvd
Ste 3
Crestview, FL 32536-2166
Phone (850) 682-7772

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
PT33079FLMDOrthopedic Physical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1302480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1508803200000",
    "number": "1508156548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "728 N FERDON BLVD",
            "address_2": "STE 3",
            "city": "CRESTVIEW",
            "state": "FL",
            "postal_code": "325362166",
            "telephone_number": "850-682-7772",
            "fax_number": "888-308-1539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2798 YULUPA AVE",
            "address_2": "SUITE #1",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954058570",
            "telephone_number": "707-527-4001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARVITZ",
        "first_name": "DAVID",
        "middle_name": "CHRISTOPHER",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-04-11",
        "last_updated": "2017-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "FL",
            "license": "PT33079",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Rosa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2017; 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.