MEDICARE: DR. DAVID JASON CARGILL PT, DPT

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
1	225100000X	Physical Therapist	08073	LA

General Provider Information

NPI Number	:	1477849768
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DAVID JASON CARGILL PT, DPT

Provider Business Mailing Address
First Line	:	3848 VETERANS MEMORIAL BLVD STE 203
Second Line	:
City	:	METAIRIE
State	:	LA
Zip	:	70002-5621
Country	:	US
Telephone Number	:	504-407-3477
Fax Number	:	504-407-3479

Provider Business Practice Location Address
First Line	:	3848 VETERANS MEMORIAL BLVD STE 203
Second Line	:
City	:	METAIRIE
State	:	LA
Zip	:	70002-5621
Country	:	US
Telephone Number	:	504-407-3477
Fax Number	:	504-407-3479

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/24/2011
Last Update Date	:	01/05/2026

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