Shanae L Davis, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

6464 Issued in SC

Practice address

1616 Rabon Farms LN
Columbia, SC 29223-5879

Phone

(803) 270-9556

NPI assigned

Dec 5, 2011

Sex

Female

Sole proprietor

Yes

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

Enrolled in SC

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Its All Fun Therapy Services

  • Physical Therapist
  • Columbia, SC
  • NPI 1144810375
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1323043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611532800000",
    "number": "1053689075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1616 RABON FARMS LN",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292235879",
            "telephone_number": "803-401-1354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1616 RABON FARMS LN",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292235879",
            "telephone_number": "803-270-9556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "SHANAE",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-12-05",
        "last_updated": "2021-01-25",
        "certification_date": "2021-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "6464",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Davis
• Oneyke Napu Davis, D.C
• Regina Sullivan Davis, AA, CPSS, CPRC
• Samantha Gretchen Davis
• Shana Monique Davis, PMHNP-BC
• Sharon Denise Davis, MHA
• Taquina Chante Davis
• Taylor Elayne Davis, ED.S, LPC
• Terri Lee Davis, LCSW LCAS
• Tiara Davis

• Physical Therapist in Columbia, SC
• Providers in Columbia, SC by specialty
• Physical Therapist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.