Provider Demographics
NPI:1144711219
Name:ESPY, DAVID ANDREW (LO, LPED)
Entity type:Individual
Prefix:
First Name:DAVID
Middle Name:ANDREW
Last Name:ESPY
Suffix:
Gender:M
Credentials:LO, LPED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:823 W SPRING ST
Mailing Address - Street 2:
Mailing Address - City:TITUSVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:16354-1534
Mailing Address - Country:US
Mailing Address - Phone:412-622-2020
Mailing Address - Fax:814-827-4272
Practice Address - Street 1:823 W SPRING ST
Practice Address - Street 2:
Practice Address - City:TITUSVILLE
Practice Address - State:PA
Practice Address - Zip Code:16354-1534
Practice Address - Country:US
Practice Address - Phone:412-622-2020
Practice Address - Fax:814-827-9691
Is Sole Proprietor?:No
Enumeration Date:2018-05-24
Last Update Date:2018-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPD000037224L00000X
PAOH000143222Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes222Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOrthotist
No224L00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPedorthist