Active NPI
David Lloyd Tupper, P.T.
- Physical Therapist
- Walla Walla, WA
National Provider Identifier
1932109626
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT00003096
- Practice address
- 1711 Dalles Military Rd
Walla Walla, WA 99362-8028 - Phone
- (509) 529-3220
- Fax
- (888) 828-3016
- NPI assigned
- Jul 26, 2005
- Last updated
- Sep 14, 2016
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT00003096 | WA | Primary |
Addresses
Primary practice location
1711 Dalles Military Rd
Walla Walla, WA 99362-8028
Mailing address
1711 Dalles Military Rd
Walla Walla, WA 99362
Phone (509) 529-3220
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7060916 | Medicaid | WA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1983
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1711 Dalles Military Rd
Walla Walla, WA 99362-8028
Phone (509) 529-3220
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.6 of 100
- Quality
- 78.33
- Improvement activities
- 40
- Cost
- 80.87
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3096 | WA | MD | Clinical Psychologist |
Organizations & group practices 1
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.
-
- Physical Therapist
- Walla Walla, WA
- NPI 1326356585
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1122336000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1473811200000",
"number": "1932109626",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1711 DALLES MILITARY RD",
"city": "WALLA WALLA",
"state": "WA",
"postal_code": "99362",
"telephone_number": "509-529-3220",
"fax_number": "888-828-3016"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1711 DALLES MILITARY RD",
"city": "WALLA WALLA",
"state": "WA",
"postal_code": "993628028",
"telephone_number": "509-529-3220",
"fax_number": "888-828-3016"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TUPPER",
"first_name": "DAVID",
"middle_name": "LLOYD",
"credential": "P.T.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-07-26",
"last_updated": "2016-09-14",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WA",
"license": "PT00003096",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7060916",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Walla Walla, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2016; 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.