Individual provider Active NPI

David Naiman, P.T.A.

  • Physical Therapy Assistant
  • West Palm Beach, FL
National Provider Identifier
1508303991
Registry record updated Jan 24, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
PTA19323 Issued in FL
Practice address
2505 Metrocentre Blvd
Suite 20E
West Palm Beach, FL 33407-3114
Phone
(561) 689-2774
Fax
(561) 242-0951
NPI assigned
Jan 24, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X PTA19323 FL Primary

Addresses

Primary practice location

2505 Metrocentre Blvd
Suite 20E
West Palm Beach, FL 33407-3114

Mailing address

457 SE Bloxham Way
Stuart, FL 34997-1569
Phone (561) 801-3944

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PTA19323FLMDPhysical Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1485216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485216000000",
    "number": "1508303991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "457 SE BLOXHAM WAY",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349971569",
            "telephone_number": "561-801-3944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2505 METROCENTRE BLVD",
            "address_2": "SUITE 20E",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334073114",
            "telephone_number": "561-689-2774",
            "fax_number": "561-242-0951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAIMAN",
        "first_name": "DAVID",
        "credential": "P.T.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-01-24",
        "last_updated": "2017-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "FL",
            "license": "PTA19323",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Palm Beach, FL

Sources for this page

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