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NPI Code Detail

MEDICARE: DR. DAVID SHUMATE SR. DPT, RAC

MEDICARE: DR. DAVID SHUMATE SR. DPT, RAC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical Therapist2305206128VA
2225100000XPhysical Therapist1203775TX
3225100000XPhysical TherapistP12305NC

General Provider Information

NPI Number : 1386920379
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DAVID SHUMATE SR. DPT, RAC
Provider Business Mailing Address
First Line : 6409 FAYETTEVILLE RD STE 120323
Second Line :
City : DURHAM
State : NC
Zip : 27713-6297
Country : US
Telephone Number : 984-307-4787
Fax Number :
Provider Business Practice Location Address
First Line : 400 GRANVILLE CORS STE B
Second Line :
City : OXFORD
State : NC
Zip : 27565-4009
Country : US
Telephone Number : 984-307-4787
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/23/2011
Last Update Date : 05/27/2026

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