David Martin Light, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

18042 Issued in FL

Practice address

1501 Corporate Dr Ste 110
Boynton Beach, FL 33426-6654

Phone

(561) 432-0111

Fax

(561) 432-1075

NPI assigned

May 10, 2006

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

State licenses

Practice roles

Locations

Networks

• Freedom Health HMO Network

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.

• Regional Physiotherapy Centre

  • Physical Therapy Clinic/Center
  • West Palm Beach, FL
  • NPI 1609059641
  NPD Authorized official

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

{
    "created_epoch": "1147219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1912957333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12922 ELLISON WILSON RD",
            "city": "NORTH PALM BEACH",
            "state": "FL",
            "postal_code": "334082118",
            "telephone_number": "561-627-5629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 CORPORATE DR STE 110",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334266654",
            "telephone_number": "561-432-0111",
            "fax_number": "561-432-1075"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "313 10th St",
            "address_purpose": "LOCATION",
            "city": "West Palm Beach",
            "state": "FL",
            "postal_code": "334013317",
            "country_code": "US",
            "telephone_number": "561-833-2244",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LIGHT",
        "first_name": "DAVID",
        "middle_name": "MARTIN",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-10",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "18042",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Life Steps LLC
• Life Steps, LLC
• Lifesaverssoftware Inc
• Lifetime Insurance Brokers
• Light Touch Therapies, Inc
• Joshua P Light, MD
• Lighthouse Recovery Institute
• Lighthouse Recovery Institute, Inc.
• Lighthouse Recovery Institute, Inc.
• Julie A Lillis

• Physical Therapist in Boynton Beach, FL
• Providers in Boynton Beach, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.