Active NPI
David Allen Franklin, MSPT
- Physical Therapist
- Peru, IN
National Provider Identifier
1689692485
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 05003621A
- Practice address
- 5 Broadway PLZ
Peru, IN 46970-1052 - Phone
- (765) 327-2111
- Fax
- (765) 327-2319
- NPI assigned
- Jul 18, 2006
- Last updated
- Oct 11, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 70014840 | IL | |
| Physical Therapist | 225100000X | 05003621A | IN | Primary |
Addresses
Primary practice location
5 Broadway PLZ
Peru, IN 46970-1052
Mailing address
4175 Veterans Memorial Hwy
Ste 202
Ronkonkoma, NY 11779-7639
Phone (631) 580-5200
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 70014840 | IL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Illiana Surgery and Medical Center | Physical Therapist | Past | Accepting new patients |
| Diveris Orthopedics and Sports Medicine,PC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
dba KDM Physical Therapy
- Sports Medicine (Orthopaedic Surgery) Physician
- Warsaw, IN
- NPI 1437362076
-
dba Illiana Rehabilitation Services
- Physical Therapist
- Munster, IN
- NPI 1134175490
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153180800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1476144000000",
"number": "1689692485",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4175 VETERANS MEMORIAL HWY",
"address_2": "STE 202",
"city": "RONKONKOMA",
"state": "NY",
"postal_code": "117797639",
"telephone_number": "631-580-5200",
"fax_number": "631-580-5222"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5 BROADWAY PLZ",
"city": "PERU",
"state": "IN",
"postal_code": "469701052",
"telephone_number": "765-327-2111",
"fax_number": "765-327-2319"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRANKLIN",
"first_name": "DAVID",
"middle_name": "ALLEN",
"credential": "MSPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-18",
"last_updated": "2016-10-11",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IL",
"license": "70014840",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IN",
"license": "05003621A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Peru, IN
- Tanya Fondekar
- Fort Wayne Orthopedics, LLC
- Four County Comprehensive Mental Health Center Inc (4C Health)
- Four County Comprehensive Mental Health Center Inc (4C Health)
- Four County Comprehensive Mental Health Center, Inc (4C Health)
- Anna Rose Frantz Laughner, LCSW
- Fresenius Medical Care Fort Wayne, LLC (Fresenius Medical Care Peru)
- Katrina Frye, RBT
- Genoa Healthcare LLC
- Barbara Ann Gibbs, LCSW
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.