NPIMap

Organization Active NPI

Lynn Davis PT, Inc.

  • Physical Therapist
  • Youngstown, OH
National Provider Identifier
1053567057
Registry record updated Aug 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT - 05599 Issued in OH
Legal business name
LYNN DAVIS PT, INC.
Practice address
2708 Spring Meadow Cir
Youngstown, OH 44515-4955
Phone
(330) 519-8431
Fax
(330) 799-3976
NPI assigned
Aug 11, 2008
Last updated
Aug 11, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Lynn Davis, P.T.NPI 1104082379
Title
Physical Therapist, Owner
Phone
(330) 519-8431

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X OTA 03719 OH
Physical Therapist 225100000X PT - 05599 OH Primary
Physical Therapist 225100000X PT-07469 OH
Occupational Therapist 225X00000X OT 006691 OH

Addresses

Primary practice location

2708 Spring Meadow Cir
Youngstown, OH 44515-4955

Mailing address

2708 Spring Meadow Cir
Youngstown, OH 44515-4955
Phone (330) 519-8431

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1218412800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218412800000",
    "number": "1053567057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2708 SPRING MEADOW CIR",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445154955",
            "telephone_number": "330-519-8431",
            "fax_number": "330-799-3976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2708 SPRING MEADOW CIR",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445154955",
            "telephone_number": "330-519-8431",
            "fax_number": "330-799-3976"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LYNN DAVIS PT, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-11",
        "last_updated": "2008-08-11",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "LYNN",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST, OWNER",
        "authorized_official_telephone_number": "330-519-8431",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "OH",
            "license": "OTA 03719",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "PT - 05599",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "PT-07469",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "OH",
            "license": "OT 006691",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Youngstown, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2008; 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.