Bryan Timothy Davis, PT,DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT14758 Issued in FL

Practice address

3420 E 15TH St
Panama City, FL 32405-7425

Phone

(850) 215-8844

Fax

(850) 215-6644

NPI assigned

Jan 30, 2007

Sex

Male

Sole proprietor

No

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

Specialty

Physical Therapist in Private Practice

Education

Other, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Excel Therapy, LLCGroup PAC ID 0648446278, 3 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.

• Excel Therapy, LLC

  • Physical Therapist
  • Panama City, FL
  • NPI 1528344934

  FL, Physical Therapist

  Medicare reassignment Care Compare group NPD Authorized official
• Primecare of NW FL

  • Family Medicine Physician
  • Panama City, FL
  • NPI 1801940549
  NPD (past)

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649808000000",
    "number": "1013053644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "807 N TYNDALL PKWY",
            "city": "CALLAWAY",
            "state": "FL",
            "postal_code": "324049495",
            "telephone_number": "850-215-8844",
            "fax_number": "850-215-6644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3420 E 15TH ST",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324057425",
            "telephone_number": "850-215-8844",
            "fax_number": "850-215-6644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "BRYAN",
        "middle_name": "TIMOTHY",
        "name_prefix": "Mr.",
        "credential": "PT,DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-30",
        "last_updated": "2022-04-13",
        "certification_date": "2022-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT14758",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca A David
• Ashley Janiece Davidson, PTA
• Monica Davila, ARNP
• Alexander Davis, MD
• Ashley Dehart Davis, PHARM. D
• Colleen Elizabeth Davis
• Don Allen Davis, MD
• Grant Davis, RPH
• Jenn Nicole Davis, M.S., BCBA
• Jennifer Sue Davis, MSN, APRN, PMHNP-BC

• All providers in Panama City, FL
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2022; 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.