Active NPI
David A Hardison, PT DC
- Chiropractor
- Fredericksburg, TX
National Provider Identifier
1942328521
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 4665
- Practice address
- 909 N Llano St
Fredericksburg, TX 78624-3923 - Phone
- (830) 997-7811
- Fax
- (830) 997-6362
- NPI assigned
- Mar 26, 2007
- Last updated
- Sep 18, 2009
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 4665 | TX | Primary |
| Physical Therapist | 225100000X | 1001907 | TX |
Addresses
Primary practice location
909 N Llano St
Fredericksburg, TX 78624-3923
Mailing address
909 N Llano St
Fredericksburg, TX 78624-3923
Phone (830) 997-7811
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4665 | TX | MD | Chiropractor |
| 1001907 | TX | MD | Physical Therapist |
| 101907 | TX | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174867200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1253232000000",
"number": "1942328521",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "909 N LLANO ST",
"city": "FREDERICKSBURG",
"state": "TX",
"postal_code": "786243923",
"telephone_number": "830-997-7811",
"fax_number": "830-997-6362"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "909 N LLANO ST",
"city": "FREDERICKSBURG",
"state": "TX",
"postal_code": "786243923",
"telephone_number": "830-997-7811",
"fax_number": "830-997-6362"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARDISON",
"first_name": "DAVID",
"middle_name": "A",
"credential": "PT DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-26",
"last_updated": "2009-09-18",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "TX",
"license": "4665",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1001907",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fredericksburg, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.