Individual provider Active NPI

Kevin Gregory David, DPT

  • Orthopedic Physical Therapist
  • Pittsburgh, PA
National Provider Identifier
1568737039
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
PT024008 Issued in PA
Practice address
321 Pennwood Ave
Pittsburgh, PA 15221-3308
Phone
(503) 453-2900
NPI assigned
Mar 16, 2012
Last updated
Mar 17, 2018By the provider in NPPES
Sex
Male
Sole proprietor
Yes

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X 38521 CA
Orthopedic Physical Therapist 2251X0800X PT024008 PA Primary

Addresses

Primary practice location

321 Pennwood Ave
Pittsburgh, PA 15221-3308

Mailing address

203 Vermillion Dr
Pittsburgh, PA 15209-2157
Phone (503) 453-2900

Other practice location 1

11848 Bernardo Plaza Ct
#100
San Diego, CA 92128-2416
Phone (858) 217-2496

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150108001901 PA Practitioner - Physical Therapist in Private Practice 9931355575 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
38521CAMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Physical Therapy Now LLC CurrentSince Nov 19, 2014 Accepting new patients
Water and Sports Physical Therapy, Inc Orthopedic CurrentSince May 21, 2012 Accepting new patients
Asis Physical Therapy, Inc. Orthopedic PastSince Jan 1, 2009 Accepting new patients
Water and Sports Physical Therapy Past Accepting new patients

Locations

3639 Midway Dr
#B286
San Diego, CA 92110

501 W Broadway
San Diego, CA 92101
Phone (619) 237-9027

3392 Saxonburg Blvd
Ste 330
Glenshaw, PA 15116
Phone (412) 406-8196

3117 Penn Ave
Pittsburgh, PA 15201
Phone (412) 794-8352

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1331856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1568737039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 VERMILLION DR",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152092157",
            "telephone_number": "503-453-2900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 PENNWOOD AVE",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152213308",
            "telephone_number": "503-453-2900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11848 Bernardo Plaza Ct",
            "address_2": "#100",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921282416",
            "country_code": "US",
            "telephone_number": "858-217-2496",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVID",
        "first_name": "KEVIN",
        "middle_name": "GREGORY",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-03-16",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "CA",
            "license": "38521",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "PA",
            "license": "PT024008",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

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.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.