Mary Ann Davis, P.T.A.

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

1389 Issued in WV

Practice address

23 Riverbend Apartments Rd
Clarksburg, WV 26301-4152

Phone

(304) 695-0351

NPI assigned

Jul 8, 2009

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1247011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1247011200000",
    "number": "1023247392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 RIVERBEND APARTMENTS RD",
            "city": "CLARKSBURG",
            "state": "WV",
            "postal_code": "263014152",
            "telephone_number": "304-695-0351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 RIVERBEND APARTMENTS RD",
            "city": "CLARKSBURG",
            "state": "WV",
            "postal_code": "263014152",
            "telephone_number": "304-695-0351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "MARY",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "P.T.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-08",
        "last_updated": "2009-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "WV",
            "license": "1389",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Starla K Daniels
• Cynthia J David, MA,SLP
• Brandon Davis, PHARMD
• Courtney D Davis, LMT
• Debra Ann Davis, MA EDS
• Suzanna Davis
• Terry Norman Davis Jr., PA-C
• Tiffany D Davis
• Davisson Run Leasing Co., LLC
• Candice Marie Davisson

• Physical Therapy Assistant in Clarksburg, WV
• Providers in Clarksburg, WV by specialty
• Physical Therapy Assistant in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.