Jon Barry Davis, PT
Individual provider Active NPI Physical Therapist · Kingsbury, TX
NPI 1053947382 · NPPES record last updated Mar 18, 2020
Key facts
- NPI
- 1053947382
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 1101590 (TX)
- Practice address
- 1129 Wade Rd
Kingsbury, TX 78638-1642 - Phone
- (830) 708-2416
- NPI assigned
- Mar 18, 2020
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1101590 | TX | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1101590 | TX | Yes |
Addresses
Primary practice location
1129 Wade Rd
Kingsbury, TX 78638-1642
Mailing address
1129 Wade Rd
Kingsbury, TX 78638-1642
Phone (830) 708-2416
Other providers in Kingsbury, TX
- 1Stcare MD, Inc
- Blue Star Non Emergency Transportation
- Chantal'S Home Care Agency LLC
- Kimberly Wingate Davis
- Eric Alexander Schmidt
All providers in Kingsbury, TX · Physical Therapist in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 18, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.