David Martin Leverett, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT 6102 Issued in GA

Practice address

1001 Village Park Dr
Suite 105
Greensboro, GA 30642-5100

Phone

(706) 454-2000

Fax

(706) 454-0806

NPI assigned

Jun 4, 2007

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.

• Twin Lakes Physcial Therapy

  dba Twin Lakes Medical Equipment

  • Durable Medical Equipment & Medical Supplies
  • Milledgeville, GA
  • NPI 1538223490
  NPD (past)

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

{
    "created_epoch": "1180915200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1730381583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "628 HAMPTON",
            "city": "MONROE",
            "state": "GA",
            "postal_code": "306552082",
            "telephone_number": "770-266-2836",
            "fax_number": "706-454-0806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 VILLAGE PARK DR",
            "address_2": "SUITE 105",
            "city": "GREENSBORO",
            "state": "GA",
            "postal_code": "306425100",
            "telephone_number": "706-454-2000",
            "fax_number": "706-454-0806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEVERETT",
        "first_name": "DAVID",
        "middle_name": "MARTIN",
        "name_prefix": "Mr.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT 6102",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICAL THERAPIST",
            "identifier": "PT6102",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amanda R Lanier, NP
• Daniel Teholt Lapp, RPH
• Jenny Ruth Layson, PHARMD
• Perry K Lee, OD
• Susan Stowers Lee, O.D.
• Life Transitions Counseling, LLC
• Wynter Diondra Lopez
• Lott Cuffie Southwest Properties (Lake Oconee Smile Center)
• Carolyn P Lunsford, RPH
• Pallavi Luthra, D.O.

• Physical Therapist in Greensboro, GA
• Providers in Greensboro, GA by specialty
• Physical Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.