Provider Demographics
NPI:1477372373
Name:DAVID, JARROD ANTHONY (DPT)
Entity type:Individual
Prefix:
First Name:JARROD
Middle Name:ANTHONY
Last Name:DAVID
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2031 BREAKNECK RD
Mailing Address - Street 2:
Mailing Address - City:WHITE
Mailing Address - State:PA
Mailing Address - Zip Code:15490-1071
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2301 BATTLEGROUND AVE STE 103
Practice Address - Street 2:
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27408-5425
Practice Address - Country:US
Practice Address - Phone:336-665-8445
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-10-08
Last Update Date:2025-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT032817225100000X
NCCP048727T225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist