Active NPI
Kimberly Anne Davis, MSPT, ATP
- Physical Therapist
- Concord, NH
National Provider Identifier
1053536730
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2394
- Practice address
- 57 Regional Dr
Suite #7
Concord, NH 03301-8518 - Phone
- (603) 226-2900
- Fax
- (603) 226-2907
- NPI assigned
- Apr 16, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 | 2394 | NH | Primary |
Addresses
Primary practice location
57 Regional Dr
Suite #7
Concord, NH 03301-8518
Mailing address
57 Regional Dr
Suite #7
Concord, NH 03301-8518
Phone (603) 226-2900
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 |
|---|---|---|---|
| 2394 | NH | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176681600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1317340800000",
"number": "1053536730",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "57 REGIONAL DR",
"address_2": "SUITE #7",
"city": "CONCORD",
"state": "NH",
"postal_code": "033018518",
"telephone_number": "603-226-2900",
"fax_number": "603-226-2907"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "57 REGIONAL DR",
"address_2": "SUITE #7",
"city": "CONCORD",
"state": "NH",
"postal_code": "033018518",
"telephone_number": "603-226-2900",
"fax_number": "603-226-2907"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "KIMBERLY",
"middle_name": "ANNE",
"name_prefix": "Ms.",
"credential": "MSPT, ATP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-16",
"last_updated": "2011-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NH",
"license": "2394",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Concord, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.