Derek T David, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

LA01589 Issued in LA

Practice address

99 W Martial Ave
Lafayette, LA 70508-6583

Phone

(337) 962-3461

Fax

(337) 330-2024

NPI assigned

Jul 6, 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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

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 and National Provider Directory roles.

• Innovative Physical Therapy LLC

  • Physical Therapy Clinic/Center
  • Lafayette, LA
  • NPI 1265961049

  Physical Therapist

  Medicare reassignment NPD
• The Physical Medicine Center, Inc.

  • Physical Therapist
  • Lafayette, LA
  • NPI 1679589915
  NPD (past)

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655164800000",
    "number": "1972534063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "417 GORDON CROCKET DR",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705085162",
            "telephone_number": "337-962-3461",
            "fax_number": "337-330-2024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 W MARTIAL AVE",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705086583",
            "telephone_number": "337-962-3461",
            "fax_number": "337-330-2024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVID",
        "first_name": "DEREK",
        "middle_name": "T",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-06",
        "last_updated": "2022-06-14",
        "certification_date": "2022-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "LA",
            "license": "LA01589",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LA STATE BOARD OF PHYSICAL THERAPIST",
            "identifier": "LA01589",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• David S. Muldowny, MD, Apmc
• David Stephen Dawes, M.D., a Professional Medical Corporation
• David T Booher MD Ampc
• David-McCoy Psychology LLC
• Danielle Cassin David-Neveaux, LCSW
• Kimberly David, PH.D
• Lane Katherine David, L.P.C.
• Lauren Decuir David, BSN, RN, IBCLC
• Lisa B David, M.D.
• Matthew Thomas David, DPT

• Physical Therapist in Lafayette, LA
• Providers in Lafayette, 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 14, 2022; 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.