Active NPI
Nancy S. Davidson, P.T.
- Physical Therapist
- Danville, IL
National Provider Identifier
1023025368
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 070-006853
- Practice address
- 3545 N Vermilion St
Danville, IL 61832-1100 - Phone
- (217) 442-8611
- NPI assigned
- Aug 1, 2006
- Sex
- Female
- 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 | 070-006853 | IL | Primary |
Addresses
Primary practice location
3545 N Vermilion St
Danville, IL 61832-1100
Mailing address
101 W University Ave
Champaign, IL 61820-3909
Phone (217) 366-8107
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 279500 | Other | IL | MEDICARE GROUP |
| P00382789 | Other | IL | RAILROAD MEDICARE |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 070-006853 | IL | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154390400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1426204800000",
"number": "1023025368",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 W UNIVERSITY AVE",
"city": "CHAMPAIGN",
"state": "IL",
"postal_code": "618203909",
"telephone_number": "217-366-8107"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3545 N VERMILION ST",
"city": "DANVILLE",
"state": "IL",
"postal_code": "618321100",
"telephone_number": "217-442-8611"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIDSON",
"first_name": "NANCY",
"middle_name": "S.",
"name_prefix": "Ms.",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-01",
"last_updated": "2015-03-13",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IL",
"license": "070-006853",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GROUP",
"identifier": "279500",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00382789",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Danville, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.