Organization Active NPI

Christopher Davis Physical Therapy Services Inc

Doing business as The Specialist

  • Physical Therapist
  • Lafayette, LA
National Provider Identifier
1003666058
Registry record updated Jun 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
CHRISTOPHER DAVIS PHYSICAL THERAPY SERVICES INC
Doing business as
The Specialist
Practice address
1206 E Broussard Rd Ste 102
Lafayette, LA 70508-8371
Phone
(337) 450-9111
Fax
(337) 484-3164
NPI assigned
Mar 25, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2025

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

Authorized official

Name
Christopher Davis, DPTNPI 1902866338
Title
Owner
Phone
(337) 258-9962

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

1206 E Broussard Rd Ste 102
Lafayette, LA 70508-8371

Mailing address

1206 E Broussard Rd Ste 102
Lafayette, LA 70508-8371
Phone (337) 450-9111

Other names 1

  • The Specialist Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240911004842 LA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 1658811021 Receives reassigned benefits from 2 practitioners
Practice locations: Lafayette, LA

National Provider Directory

National Provider Directory

Locations

1206 E Broussard Rd
Ste 102
Lafayette, LA 70508
Phone (337) 450-9111

1206 E Broussard Rd
Ste 100
Lafayette, LA 70508
Phone (337) 450-9111

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1711324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749513600000",
    "number": "1003666058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1206 E BROUSSARD RD STE 102",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705088371",
            "telephone_number": "337-450-9111",
            "fax_number": "337-484-3164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1206 E BROUSSARD RD STE 102",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705088371",
            "telephone_number": "337-450-9111",
            "fax_number": "337-484-3164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTOPHER DAVIS PHYSICAL THERAPY SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-25",
        "last_updated": "2025-06-10",
        "certification_date": "2025-06-10",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "337-258-9962",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Specialist",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "The Specialist",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lafayette, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.