Individual provider Active NPI

David Lilburn McGlothlen, PTA

  • Physical Therapy Assistant
  • Voorhees, NJ
National Provider Identifier
1992998116
Registry record updated Aug 21, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
40QB00141600 Issued in NJ
Practice address
3001 E Evesham Rd
Voorhees, NJ 08043-9547
Phone
(856) 751-1600
NPI assigned
Aug 21, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 40QB00141600 NJ Primary

Addresses

Primary practice location

3001 E Evesham Rd
Voorhees, NJ 08043-9547

Mailing address

325 N Saint Paul St
Suite 4200
Dallas, TX 75201-3801
Phone (866) 953-0011

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
40QB00141600NJMDPhysical Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1187654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1187654400000",
    "number": "1992998116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 N SAINT PAUL ST",
            "address_2": "SUITE 4200",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752013801",
            "telephone_number": "866-953-0011",
            "fax_number": "866-953-0012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3001 E EVESHAM RD",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "080439547",
            "telephone_number": "856-751-1600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCGLOTHLEN",
        "first_name": "DAVID",
        "middle_name": "LILBURN",
        "name_prefix": "Mr.",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-21",
        "last_updated": "2007-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NJ",
            "license": "40QB00141600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Voorhees, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2007; 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.