Active NPI
Jonni Davy, DPT
- Physical Therapist
- Anderson, IN
National Provider Identifier
1053130195
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 05010310A
- Practice address
- 2602 Enterprise Dr
Anderson, IN 46013-9684 - Phone
- (765) 608-3970
- NPI assigned
- Oct 7, 2024
- Last updated
- Oct 7, 2024
- 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 | 05010310A | IN | Primary |
Addresses
Primary practice location
2602 Enterprise Dr
Anderson, IN 46013-9684
Mailing address
339 S Pendleton Ave
Pendleton, IN 46064-1107
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 05010310A | IN | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. Vincent Anderson Regional Hospital, Inc. | Past | Accepting new patients |
Organizations & group practices 1
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.
-
dba Ascension St. Vincent Anderson
- Durable Medical Equipment & Medical Supplies
- Anderson, IN
- NPI 1427480029
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1728259200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1728259200000",
"number": "1053130195",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "339 S PENDLETON AVE",
"city": "PENDLETON",
"state": "IN",
"postal_code": "460641107"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2602 ENTERPRISE DR",
"city": "ANDERSON",
"state": "IN",
"postal_code": "460139684",
"telephone_number": "765-608-3970"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVY",
"first_name": "JONNI",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-10-07",
"last_updated": "2024-10-07",
"certification_date": "2024-10-07",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IN",
"license": "05010310A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Anderson, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.