Individual provider Active NPI

David Ray Newbolds, MPT

  • Physical Therapist
  • Munster, IN
National Provider Identifier
1881731818
Registry record updated Feb 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
05003491A Issued in IN
Practice address
9711 Valparaiso Dr
Munster, IN 46321-2866
Phone
(219) 924-3512
Fax
(219) 924-4978
NPI assigned
Jan 31, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 05003491A IN Primary
Physical Therapist 225100000X 070011800 IL

Addresses

Primary practice location

9711 Valparaiso Dr
Munster, IN 46321-2866

Mailing address

9711 Valparaiso Dr
Munster, IN 46321-2866
Phone (219) 924-3512

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070911000781 IN Practitioner - Physical Therapist in Private Practice 3173615994 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Northwestern University Feinberg Medical School, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Athletico LTDGroup PAC ID 4789602681, 2,187 clinicians

Practice addresses (Care Compare)

1505 US Hwy 41
Suite A20
Schererville, IN 46375-1394
Phone (219) 322-5560

510 E 81St Ave
Unit 2
Merrillville, IN 46410-5599
Phone (219) 791-0494

Merit-based Incentive Payment System (MIPS)

Final score
86.32 of 100Reported as group
Quality
84.44
Promoting interoperability
99
Improvement activities
40
Cost
70.78

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
070011800ILMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Athletic and Therapeutic Institute of Naperville, LLC Physical Therapist Current Accepting new patients
Athletico LTD Physical Therapist Current Accepting new patients
Advanced Physical Therapy, LLC Physical Therapist CurrentSince Feb 15, 2022 Accepting new patients
Athletic and Therapeutic Institute of Naperville LLC Physical Therapist CurrentSince Jun 7, 2021 Accepting new patients
Athletico, LTD Physical Therapist CurrentSince Aug 20, 2022 Accepting new patients
Athletico LTD Physical Therapist CurrentSince Aug 20, 2022 Accepting new patients
Athletic and Therapeutic Institute of Naperville, LLC CurrentSince Jun 7, 2021 Accepting new patients
Advanced Physical Therapy, LLC Physical Therapist CurrentSince Feb 15, 2022 Accepting new patients
Layous LLC Past Accepting new patients

Locations

4947 Paysphere Cir
Chicago, IL 60674
Phone (630) 783-2001

2122 York Rd
Ste 300
Oak Brook, IL 60523
Phone (630) 575-6250

1738 165th St
Ste A
Hammond, IN 46320
Phone (219) 844-1782

5949 W Raymond St
Indianapolis, IN 46241
Phone (317) 247-1579

8317 Calumet Ave
Ste B
Munster, IN 46321
Phone (219) 924-3512

300 Ridge Rd
Munster, IN 46321
Phone (219) 836-0027

6459 US Highway 6
Portage, IN 46368
Phone (219) 762-5592

1505 US Highway 41
Ste A20
Schererville, IN 46375
Phone (219) 322-5560

Organizations & group practices 10

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": "1170201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1518480000000",
    "number": "1881731818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9711 VALPARAISO DR",
            "city": "MUNSTER",
            "state": "IN",
            "postal_code": "463212866",
            "telephone_number": "219-924-3512",
            "fax_number": "219-924-4978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9711 VALPARAISO DR",
            "city": "MUNSTER",
            "state": "IN",
            "postal_code": "463212866",
            "telephone_number": "219-924-3512",
            "fax_number": "219-924-4978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEWBOLDS",
        "first_name": "DAVID",
        "middle_name": "RAY",
        "name_prefix": "Mr.",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-31",
        "last_updated": "2018-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IN",
            "license": "05003491A",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070011800",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Munster, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 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.