David George Ravnikar, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5728 Issued in SC

Practice address

634 Bacons Bridge Rd
Summerville, SC 29485-4102

Phone

(843) 821-2272

NPI assigned

Feb 22, 2007

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Island P.T.,LLC

  • Physical Therapist
  • Charleston, SC
  • NPI 1942454145
  Medicare reassignment NPD

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

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1236556800000",
    "number": "1801921598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "329 CHEMISTRY CIR",
            "city": "LADSON",
            "state": "SC",
            "postal_code": "294565294",
            "telephone_number": "412-398-0351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "634 BACONS BRIDGE RD",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294854102",
            "telephone_number": "843-821-2272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAVNIKAR",
        "first_name": "DAVID",
        "middle_name": "GEORGE",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-22",
        "last_updated": "2009-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT018125",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1169143",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "5728",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marie Davis Rataj, ANP
• Ella Ratliff
• Jennifer Rauchut
• Dyan Fore Rauton, LISW-CP
• Tiffany Deloris Ravenell, LPN
• Angela Rawlings, DVM
• Michael Logan Rawlins, MD
• Jordan Read, DO
• Kenneth Britt Reagin, DMD
• Sutton Alexander Reamer, DMD

• Physical Therapist in Summerville, SC
• Providers in Summerville, SC by specialty
• Physical Therapist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.