Individual provider Active NPI

David J Dumond, PHYSICAL THERAPIST

  • Physical Therapist
  • Hickory, NC
National Provider Identifier
1861576670
Registry record updated Feb 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
4858 Issued in NC
Practice address
910 Tate Blvd SE Ste 106
Hickory, NC 28602-4030
Phone
(828) 430-6134
Fax
(980) 206-4258
NPI assigned
Oct 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2026

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 4858 NC Primary

Addresses

Primary practice location

910 Tate Blvd SE Ste 106
Hickory, NC 28602-4030

Mailing address

6401 Stargaze LN
Charlotte, NC 28269-0802
Phone (704) 607-3483

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060113000157 NC Practitioner - Physical Therapist in Private Practice 5991739401 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1899 Tate Blvd SE
Suite 2108
Hickory, NC 28602-4200
Phone (704) 607-3483

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4858NCMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Carolina Emg Specialists Physical Therapist CurrentSince Sep 1, 2014 Accepting new patients
Pediatric Housecall Services PLLC Past Accepting new patients
The Mar Vista Group Inc Physical Therapist Past Accepting new patients

Locations

1899 Tate Blvd SE
Ste 2108
Hickory, NC 28602
Phone (704) 607-3483

910 Tate Blvd SE
Ste 106
Hickory, NC 28602
Phone (828) 430-6134

Interoperability endpoints

  • Direct secure messaging: david.dumomd.pt.dpt.ecs.1@26879.direct.athenahealth.com

Organizations & group practices 3

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": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769990400000",
    "number": "1861576670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6401 STARGAZE LN",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282690802",
            "telephone_number": "704-607-3483",
            "fax_number": "980-206-4258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 TATE BLVD SE STE 106",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286024030",
            "telephone_number": "828-430-6134",
            "fax_number": "980-206-4258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUMOND",
        "first_name": "DAVID",
        "middle_name": "J",
        "credential": "PHYSICAL THERAPIST",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-25",
        "last_updated": "2026-02-02",
        "certification_date": "2026-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "4858",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hickory, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2026; 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.