David P Thibodeaux, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

142104 Issued in MD

Practice address

827 Rockville Pike Ste F
Rockville, MD 20852-1267

Phone

(301) 251-2777

Fax

(240) 766-0304

NPI assigned

Sep 27, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Sport and Spine Rehab of Chevy Chase

  • Physical Therapist
  • Chevy Chase, MD
  • NPI 1851548317
  Authorized official Same address or phone
• First Choice Physicians LLC

  dba Sport & Spine Rehab

  • Chiropractor
  • Rockville, MD
  • NPI 1174605570

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1190851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1190851200000",
    "number": "1578750139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11418 LIVINGSTON RD",
            "city": "FT WASHINGTON",
            "state": "MD",
            "postal_code": "207445145",
            "telephone_number": "240-766-0300",
            "fax_number": "240-766-0304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "827 ROCKVILLE PIKE STE F",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208521267",
            "telephone_number": "301-251-2777",
            "fax_number": "240-766-0304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THIBODEAUX",
        "first_name": "DAVID",
        "middle_name": "P",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-09-27",
        "last_updated": "2007-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "142104",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "S825",
            "state": "DC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE OF MD",
            "identifier": "KB80",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Theracom LLC
• Theracom, LLC (TheraCom)
• Theranostics Health Inc.
• Patricia Therres
• Joy Thibeault, LCSW-C
• Mindy Thiel, LCSWC
• Hannah K Thiessen, LMSW
• Nandini Thillairajah, M.D.
• Memunatu Emmanuella Tholley
• Thomas E. Kasper, M.D., P.a.

• Physical Therapist in Rockville, MD
• Providers in Rockville, MD by specialty
• Physical Therapist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2007; 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.