Active NPI
David Scott Eddy, PT
- Physical Therapist
- Mount Pleasant, TX
National Provider Identifier
1730360389
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1056414
- Practice address
- 1704 S Jefferson Ave
Mt Pleasant, TX 75455-5616 - Phone
- (903) 572-6100
- Fax
- (903) 572-6127
- NPI assigned
- Nov 23, 2007
- Last updated
- Mar 6, 2008
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1056414 | TX | Primary |
Addresses
Primary practice location
1704 S Jefferson Ave
Mt Pleasant, TX 75455-5616
Mailing address
1005 Woodland Rd
Mt Pleasant, TX 75455-5124
Phone (903) 572-2539
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 |
|---|---|---|---|
| 1056414 | TX | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1195776000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1204761600000",
"number": "1730360389",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1005 WOODLAND RD",
"city": "MT PLEASANT",
"state": "TX",
"postal_code": "754555124",
"telephone_number": "903-572-2539"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1704 S JEFFERSON AVE",
"city": "MT PLEASANT",
"state": "TX",
"postal_code": "754555616",
"telephone_number": "903-572-6100",
"fax_number": "903-572-6127"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EDDY",
"first_name": "DAVID",
"middle_name": "SCOTT",
"name_prefix": "Mr.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-11-23",
"last_updated": "2008-03-06",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1056414",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mount Pleasant, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.