Individual provider Active NPI

David James Atwood, PT, DPT

  • Physical Therapist
  • San Francisco, CA
National Provider Identifier
1770009151
Registry record updated Jul 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT293347 Issued in CA
Practice address
1801 Bush St Ste 200
San Francisco, CA 94109
Phone
(415) 776-1646
Fax
(415) 776-1964
NPI assigned
Aug 17, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2018

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 PT293347 CA Primary

Addresses

Primary practice location

1801 Bush St Ste 200
San Francisco, CA 94109

Mailing address

1 Daniel Burnham CT Ste 325C
San Francisco, CA 94109-5482

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171011002085 CA Practitioner - Physical Therapist in Private Practice 9335414721 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Louisiana State University School of Medicine in New Orleans, 2017
Medicare assignment
May accept Medicare assignment
Group practices
Golden Gate Physical TherapyGroup PAC ID 2860441581, 7 clinicians

Practice addresses (Care Compare)

1801 Bush St
Suite 200
San Francisco, CA 94109-5296
Phone (415) 776-1646

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT293347CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Golden Gate Physical Therapy Physical Therapist CurrentSince Sep 6, 2017 Accepting new patients

Locations

1801 Bush St
Ste 200
San Francisco, CA 94109
Phone (415) 776-1646

1 Daniel Burnham Ct
Ste 325C
San Francisco, CA 94109
Phone (415) 776-1646

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": "1502928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532304000000",
    "number": "1770009151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 DANIEL BURNHAM CT STE 325C",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941095482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 BUSH ST STE 200",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "94109",
            "telephone_number": "415-776-1646",
            "fax_number": "415-776-1964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ATWOOD",
        "first_name": "DAVID",
        "middle_name": "JAMES",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-08-17",
        "last_updated": "2018-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT293347",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2018; 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.