Active NPI
David Vincent Powers, P.T.
- Physical Therapist
- Pacific Palisades, CA
National Provider Identifier
1518040278
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 8927
- Practice address
- 881 Alma Real Dr Ste 211
Pacific Palisades, CA 90272-3748 - Phone
- (310) 454-0060
- Fax
- (310) 454-0065
- NPI assigned
- Oct 24, 2006
- Last updated
- Jan 12, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 8927 | CA | Primary |
Addresses
Primary practice location
881 Alma Real Dr Ste 211
Pacific Palisades, CA 90272-3748
Mailing address
1583 Calle Patricia
Pacific Palisades, CA 90272-1942
Phone (310) 454-4678
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20081215000304 | CA | Practitioner - Physical Therapist in Private Practice | 8820014236 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8927 | CA | MD | Physical Therapist |
Organizations & group practices 1
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.
-
- Rehabilitation Clinic/Center
- Pacific Palisades, CA
- NPI 1255413795
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161648000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1641945600000",
"number": "1518040278",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1583 CALLE PATRICIA",
"city": "PACIFIC PALISADES",
"state": "CA",
"postal_code": "902721942",
"telephone_number": "310-454-4678",
"fax_number": "310-454-5049"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "881 ALMA REAL DR STE 211",
"city": "PACIFIC PALISADES",
"state": "CA",
"postal_code": "902723748",
"telephone_number": "310-454-0060",
"fax_number": "310-454-0065"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POWERS",
"first_name": "DAVID",
"middle_name": "VINCENT",
"name_prefix": "Mr.",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-24",
"last_updated": "2022-01-12",
"certification_date": "2022-01-12",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "8927",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pacific Palisades, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.