Active NPI
Arthur Davis
- Physical Therapist
- Ridgeland, MS
National Provider Identifier
1003239930
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT1208
- Practice address
- 745 S Pear Orchard Rd
Suite 335
Ridgeland, MS 39157-5128 - Phone
- (601) 573-9974
- NPI assigned
- Jan 29, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT1208 | MS | Primary |
Addresses
Primary practice location
745 S Pear Orchard Rd
Suite 335
Ridgeland, MS 39157-5128
Mailing address
PO Box 1227
Ridgeland, MS 39158-1227
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eden Rehab LLC | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1390953600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1390953600000",
"number": "1003239930",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1227",
"city": "RIDGELAND",
"state": "MS",
"postal_code": "391581227"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "745 S PEAR ORCHARD RD",
"address_2": "SUITE 335",
"city": "RIDGELAND",
"state": "MS",
"postal_code": "391575128",
"telephone_number": "601-573-9974"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "ARTHUR",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-01-29",
"last_updated": "2014-01-29",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MS",
"license": "PT1208",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ridgeland, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.