Individual provider Active NPI

David Gregory Dumyahn, PT

  • Physical Therapist
  • Cottonwood, AZ
National Provider Identifier
1982895983
Registry record updated Oct 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1698 Issued in AZ
Practice address
799 Cove Pkwy Ste B
Cottonwood, AZ 86326-4683
Phone
(928) 639-3068
NPI assigned
Aug 5, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 1698 AZ Primary

Addresses

Primary practice location

799 Cove Pkwy Ste B
Cottonwood, AZ 86326-4683

Mailing address

PO Box 2024
Cottonwood, AZ 86326-2024
Phone (928) 639-3068

Other identifiers 1

IdentifierTypeStateIssuer
131087MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120124000572 AZ Practitioner - Physical Therapist in Private Practice 1153211487 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

657 E Cottonwood St
Suite 3D
Cottonwood, AZ 86326-4407
Phone (928) 639-3068

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Resource Physical Therapy Physical Therapist CurrentSince Dec 15, 2000 Accepting new patients
Resource Physical Therapy Past Accepting new patients

Locations

825 W Mingus Ave
Cottonwood, AZ 86326
Phone (928) 639-3068

6486 State Route 179
Ste 108
Sedona, AZ 86351
Phone (520) 327-4101

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1186272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698364800000",
    "number": "1982895983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2024",
            "city": "COTTONWOOD",
            "state": "AZ",
            "postal_code": "863262024",
            "telephone_number": "928-639-3068",
            "fax_number": "928-639-3346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "799 COVE PKWY STE B",
            "city": "COTTONWOOD",
            "state": "AZ",
            "postal_code": "863264683",
            "telephone_number": "928-639-3068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUMYAHN",
        "first_name": "DAVID",
        "middle_name": "GREGORY",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-05",
        "last_updated": "2023-10-27",
        "certification_date": "2023-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "1698",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "131087",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cottonwood, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2023; 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.