David P Dick, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

11025-24 Issued in WI

Practice address

4861 S 27TH St
Greenfield, WI 53221-2603

Phone

(414) 325-3325

NPI assigned

Jan 18, 2010

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 1

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 and National Provider Directory roles.

• Ati Holdings, LLC

  • Durable Medical Equipment & Medical Supplies
  • Wilmington, DE
  • NPI 1194918045

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1263772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1405900800000",
    "number": "1659602563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 REMINGTON BLVD",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604404909",
            "telephone_number": "630-296-2223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4861 S 27TH ST",
            "city": "GREENFIELD",
            "state": "WI",
            "postal_code": "532212603",
            "telephone_number": "414-325-3325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DICK",
        "first_name": "DAVID",
        "middle_name": "P",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-01-18",
        "last_updated": "2014-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "11025-24",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P00920109",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Eva Jean Dettlaff, PTA
• Dion Clay Deutscher, DC
• Joyce Devries, COTA
• Santo De Jesus Diaz, M.D.
• Katherine A Dibb, CSAC, LPC
• Ellen Mary Diedrich, LPC
• Michael Dillenburg, MS, CADC III
• Discovery & Recovery Clinic,Inc.
• David Richard Dix, PHARMD
• Mitchell Dobberpuhl, M.D.

• Physical Therapist in Greenfield, WI
• Providers in Greenfield, WI by specialty
• Physical Therapist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2014; 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.