Ian Josiah Davis, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PTL.0016445 Issued in CO

Practice address

1159 Main St Unit a
Windsor, CO 80550-4711

Phone

(970) 460-0066

NPI assigned

Jun 25, 2019

Last updated

Jun 25, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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 CO

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Rocky Mountain Physical Therapy, IncGroup PAC ID 6901947647, 22 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Rocky Mountain Physical Therapy, Inc

  dba Rocky Mountain Physical Therapy

  • Physical Therapist
  • Windsor, CO
  • NPI 1790013001
  Medicare reassignment Care Compare group NPD
• Rocky Mountain Physical Therapy, Inc

  • Physical Therapist
  • Johnstown, CO
  • NPI 1023610763
  NPD (past)
• Rocky Mountain Physical Therapy, Inc

  • Physical Therapist
  • Windsor, CO
  • NPI 1508468240
  NPD (past)

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

{
    "created_epoch": "1561420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561420800000",
    "number": "1053972612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1550 S HAYMAKER DR",
            "city": "MILLIKEN",
            "state": "CO",
            "postal_code": "805438324",
            "telephone_number": "970-218-3630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1159 MAIN ST UNIT A",
            "city": "WINDSOR",
            "state": "CO",
            "postal_code": "805504711",
            "telephone_number": "970-460-0066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "IAN",
        "middle_name": "JOSIAH",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-06-25",
        "last_updated": "2019-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "PTL.0016445",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James McCready Curtiss, PHARMD
• Kelsey Custer, RDH
• Erika Marie Dahl, CCC-SLP
• Laura Dailey
• Hannah Maureen Dauven, APRN
• Shelbie Demott
• Dental Alternative Services
• Dental Arts of Windsor, P.C.
• Derek Brennon Deutscher, PHARMD
• Dillon Companies LLC (King Soopers Pharmacy)

• Physical Therapist in Windsor, CO
• Providers in Windsor, CO by specialty
• Physical Therapist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.