John Randolph Davies, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT 12977 Issued in CA

Practice address

2661 Copa de Oro Dr
Los Alamitos, CA 90720-4909

Phone

(562) 493-2223

NPI assigned

Apr 26, 2007

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1985

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

JRD Physical Therapy IncGroup PAC ID 9931480787, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• JRD Physical Therapy Inc

  • Physical Therapist
  • Los Alamitos, CA
  • NPI 1255875431
  Medicare reassignment Care Compare group NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1177545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1003036765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2661 COPA DE ORO DR",
            "city": "LOS ALAMITOS",
            "state": "CA",
            "postal_code": "907204909",
            "telephone_number": "562-493-2223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2661 COPA DE ORO DR",
            "city": "LOS ALAMITOS",
            "state": "CA",
            "postal_code": "907204909",
            "telephone_number": "562-493-2223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIES",
        "first_name": "JOHN",
        "middle_name": "RANDOLPH",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT 12977",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jamie Darling
• Gerald Davelaar
• Gail Lorraine Davenport, PPS
• David a. Rosenberg, M.D., Inc
• Camryn Davidson
• Allyson Pace Davis, M.D.
• Angela Davis
• Daniel Davis, PA-C
• Leslie Annette Davis, PA
• Scott Davis, D.C.

• Physical Therapist in Los Alamitos, CA
• Providers in Los Alamitos, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.