Individual ProviderDavid D EscobarPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address117 Tradepark Dr, Somerset, KY 42503-3428(606) 678-5708PECOS EnrollmentBased on the most recent information from CMS, provider David D Escobar does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 5 days ago.Profile DetailsProvider ID1013003029Provider TypeIndividualFull NameEscobar, David DCredentialP.T.GenderMaleSole ProprietorNoEnumeration Date10/5/2006Last Updated7/8/2007Contact InformationPractice LocationPractice Address117 Tradepark Dr, Somerset, KY 42503-3428Phone(606) 678-5708Fax(606) 678-4336Mailing LocationMailing Address117 Tradepark Dr, Somerset, KY 42503-3428Phone(606) 678-5708Fax(606) 678-4336Provider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense002008KentuckyProvider IdentifiersIDDescriptionIssuerID1174914DescriptionOtherIssuerCHA PROVIDER #KentuckyID650019563DescriptionOtherIssuerRR MEDICARE #KentuckyID000000179369DescriptionOtherIssuerBLUE CROSS BLUE SHIELDKentuckyID87020087DescriptionMedicaidIssuerUnlistedKentucky