William David Prestridge, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

08124 Issued in LA

Practice address

1135 Expressway Dr
Suite 100
Pineville, LA 71360-6653

Phone

(318) 487-6525

Fax

(318) 487-6527

NPI assigned

Jun 20, 2012

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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.

• Louisiana Physical Therapy Centers of Pineville LLC

  • Physical Therapist
  • Pineville, LA
  • NPI 1407961865
  NPD
• Clark Integrated Medical Clinics LLC

  dba Clark Integrated Medical Clinics

  • General Practice Physician
  • Lafayette, LA
  • NPI 1124529284
  NPD (past)

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

{
    "created_epoch": "1340150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340150400000",
    "number": "1912260480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3486",
            "city": "PINEVILLE",
            "state": "LA",
            "postal_code": "713613486",
            "telephone_number": "318-487-6525",
            "fax_number": "318-487-6527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1135 EXPRESSWAY DR",
            "address_2": "SUITE 100",
            "city": "PINEVILLE",
            "state": "LA",
            "postal_code": "713606653",
            "telephone_number": "318-487-6525",
            "fax_number": "318-487-6527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRESTRIDGE",
        "first_name": "WILLIAM",
        "middle_name": "DAVID",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-20",
        "last_updated": "2012-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "LA",
            "license": "08124",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Francis Joseph Powell, PH.D. , MSW, BSW,
• Jeremy Powell, RPH
• Rena D Powell, MSW/LCSW
• Tracey Ann Poydras
• Veronica Pray, RD
• Prime Care Transportation LLC
• David Puckett
• Kristi Wilmore Pugh, L.C.S.W.
• Teresa Lynn Pullig
• Glynis A Quebedeaux, CRNA

• Physical Therapist in Pineville, LA
• Providers in Pineville, LA by specialty
• Physical Therapist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.