Ryan J Davis, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT21705 Issued in FL

Practice address

686 N Hunt Club Blvd Ste 180
Longwood, FL 32779-2218

Phone

(407) 772-4515

Fax

(407) 772-4518

NPI assigned

Feb 27, 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 FL

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

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

• Amg Rehab Solutions LLC

  • Physical Therapist
  • Debary, FL
  • NPI 1689137192
  Medicare reassignment NPD
• Promedicshealth Corp LLC

  dba CTA Therapy

  • Physical Therapist
  • Longwood, FL
  • NPI 1346397882
  NPD (past)

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586908800000",
    "number": "1013044312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9055 HERITAGE BAY CIR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328365063",
            "telephone_number": "843-367-1429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "686 N HUNT CLUB BLVD STE 180",
            "city": "LONGWOOD",
            "state": "FL",
            "postal_code": "327792218",
            "telephone_number": "407-772-4515",
            "fax_number": "407-772-4518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "RYAN",
        "middle_name": "J",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-27",
        "last_updated": "2020-04-15",
        "certification_date": "2020-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT21705",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Saya Davani
• David Stuart LMHC
• Shampa Davie, LMHC
• Erin Dubose Davis, M.S., L.M.F.T
• Jillian Davis
• Victoria Hope Davis, DC
• Sarah L Day, D.D.S.
• Brittany Angelica Days, MS
• DB Moura Inc. (Outpatient Homecare Rehab)
• Jorge L De Arrigoitia, AP,DIPL.AC

• Physical Therapist in Longwood, FL
• Providers in Longwood, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2020; 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.