Individual provider Active NPI

David Paul Tamburro

  • Physical Therapist
  • Surprise, AZ
National Provider Identifier
1679984124
Registry record updated May 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5070 Issued in AZ
Practice address
16572 W Greenway Rd
Surprise, AZ 85388-2183
Phone
(623) 584-3400
NPI assigned
May 17, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 17, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 5070 AZ Primary

Addresses

Primary practice location

16572 W Greenway Rd
Surprise, AZ 85388-2183

Mailing address

15742 W Almeda CT
Surprise, AZ 85387-6624
Phone (623) 584-3400

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140910001693 AZ Practitioner - Physical Therapist in Private Practice 0143449918 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kyle D GuidryGroup PAC ID 7618133661, 3 clinicians

Practice addresses (Care Compare)

16572 W Greenway Rd
Suite 103
Surprise, AZ 85388-2183
Phone (623) 584-3400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1400284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1400284800000",
    "number": "1679984124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15742 W ALMEDA CT",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853876624",
            "telephone_number": "623-584-3400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16572 W GREENWAY RD",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853882183",
            "telephone_number": "623-584-3400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAMBURRO",
        "first_name": "DAVID",
        "middle_name": "PAUL",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-05-17",
        "last_updated": "2014-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "5070",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Surprise, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2014; 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.