Jennifer Brooke David, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

040866 Issued in NY

Practice address

286 Madison Ave Ste 1601
New York, NY 10017-6374

Phone

(929) 269-2505

Fax

(888) 714-1889

NPI assigned

Sep 25, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

New York Medical College, 2016

Medicare assignment

May accept Medicare assignment

Group practices

Origin Physical Therapy FL PLLCGroup PAC ID 1759813348, 77 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Origin Physical Therapy FL PLLC

  • Physical Therapist
  • Austin, TX
  • NPI 1477220861

  GA

  Medicare reassignment Care Compare group NPD
• Southern Pelvic Health, LLC

  • Physical Therapy Clinic/Center
  • Marietta, GA
  • NPI 1528616190

  Physical Therapist

  Medicare reassignment NPD
• Rise PT OT Speech Nutrition PLLC

  • Physical Therapist
  • New York, NY
  • NPI 1427949379
  NPD (past)

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

{
    "created_epoch": "1474761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595462400000",
    "number": "1528517026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "286 MADISON AVE STE 1601",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100176374",
            "telephone_number": "929-269-2505",
            "fax_number": "888-714-1889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "286 MADISON AVE STE 1601",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100176374",
            "telephone_number": "929-269-2505",
            "fax_number": "888-714-1889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVID",
        "first_name": "JENNIFER",
        "middle_name": "BROOKE",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-25",
        "last_updated": "2020-07-23",
        "certification_date": "2020-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "040866",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carolina Guzman David, MD
• Celestine David
• Eden David
• Genevieve Anne David, LCSW
• Gillian David, LMSW
• Karen L David
• Maria Ellen David, CRNA
• Mariann George David
• Michelle David, PA
• Nicole David

• Physical Therapist in New York, NY
• Providers in New York, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.