Active NPI
David Brian Terry, DPT
- Physical Therapist
- Fernandina Beach, FL
National Provider Identifier
1780877886
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT24041
- Practice address
- 1897 Island Walk Way Ste 5
Fernandina Beach, FL 32034-1949 - Phone
- (904) 261-4664
- Fax
- (904) 261-5852
- NPI assigned
- Aug 22, 2007
- 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 | PT24041 | FL | Primary |
Addresses
Primary practice location
1897 Island Walk Way Ste 5
Fernandina Beach, FL 32034-1949
Mailing address
PO Box 949
Rome, GA 30162-0949
Phone (904) 261-4664
Other practice location 1
1885 S 14th St
Fernandina Beach, FL 32034-3033
Phone (904) 277-4449
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advance Rehabilitation & Consulting Limited Partnership | Physical Therapist | Current | Accepting new patients |
| Advance Rehabilitation & Consulting Limited Partnership | Physical Therapist | Past | Accepting new patients |
Locations
1897 Island Walk Way
Ste 5
Fernandina Beach, FL 32034
Phone (904) 261-4664
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.
-
- Physical Therapist
- Saint Marys, GA
- NPI 1235434283
-
- Durable Medical Equipment & Medical Supplies
- Jasper, GA
- NPI 1164115671
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1187740800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1583712000000",
"number": "1780877886",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 949",
"city": "ROME",
"state": "GA",
"postal_code": "301620949",
"telephone_number": "904-261-4664",
"fax_number": "904-261-5852"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1897 ISLAND WALK WAY STE 5",
"city": "FERNANDINA BEACH",
"state": "FL",
"postal_code": "320341949",
"telephone_number": "904-261-4664",
"fax_number": "904-261-5852"
}
],
"practiceLocations": [
{
"address_1": "1885 S 14th St",
"address_purpose": "LOCATION",
"city": "Fernandina Beach",
"state": "FL",
"postal_code": "320343033",
"country_code": "US",
"telephone_number": "904-277-4449",
"fax_number": "904-277-4177",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TERRY",
"first_name": "DAVID",
"middle_name": "BRIAN",
"name_prefix": "Mr.",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-08-22",
"last_updated": "2020-03-09",
"certification_date": "2020-03-09",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT24041",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fernandina Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.