David Elijah Prater, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2655 Issued in AK

Practice address

809 S Chugach St Ste 1
Palmer, AK 99645-6665

Phone

(907) 746-4373

Fax

(907) 746-4376

NPI assigned

Sep 23, 2013

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

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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.

• Choctaw Nation of Oklahoma

  • Rural Acute Care Hospital
  • Talihina, OK
  • NPI 1659347623

  TX

  Medicare reassignment NPD
• Choctaw Nation of Oklahoma

  • Primary Care Clinic/Center
  • Durant, OK
  • NPI 1396173449
  NPD
• Choctaw Nation of Oklahoma

  • Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
  • Broken Bow, OK
  • NPI 1447143532
  NPD
• Choctaw Nation of Oklahoma

  • Primary Care Clinic/Center
  • Broken Bow, OK
  • NPI 1770559619
  NPD (past)

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

{
    "created_epoch": "1379894400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1379894400000",
    "number": "1629404686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "809 S CHUGACH ST STE 1",
            "city": "PALMER",
            "state": "AK",
            "postal_code": "996456665",
            "telephone_number": "907-746-4373",
            "fax_number": "907-746-4376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "809 S CHUGACH ST STE 1",
            "city": "PALMER",
            "state": "AK",
            "postal_code": "996456665",
            "telephone_number": "907-746-4373",
            "fax_number": "907-746-4376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRATER",
        "first_name": "DAVID",
        "middle_name": "ELIJAH",
        "name_prefix": "Mr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-09-23",
        "last_updated": "2013-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AK",
            "license": "2655",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeff Porter, DPT
• Rowan Porter
• Whitney McKenzie Poser, OTD, OTR/L
• Kelly Powers
• Koral Jean Poynter
• Precision Health, LLC
• Presbyterian Hospitality House
• James H Price Jr., D.O.
• Providence Health & Services - Washington
• Genie Sabas Provo

• All providers in Palmer, AK
• Physical Therapist in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2013; 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.