Individual provider Active NPI

Natalya Olivia Davis, DPT

  • Pediatric Physical Therapist
  • Winter Park, FL
National Provider Identifier
1063198026
Registry record updated Jun 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Physical TherapistTaxonomy code 2251P0200X
License
PTT40319 Issued in FL
Practice address
1311 Minnesota Ave Suite C
Winter Park, FL 32789
Phone
(407) 303-1575
NPI assigned
Jun 26, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Physical Therapist 2251P0200X PTT40319 FL Primary

Addresses

Primary practice location

1311 Minnesota Ave Suite C
Winter Park, FL 32789

Mailing address

14032 Ithaca Way
Orlando, FL 32826
Phone (352) 424-2079

Other practice location 1

400 Celebration Place Suite C200
Celebration, FL 34747
Phone (407) 303-4003

Other practice location 2

7975 Lake Underhill Road Suite 300
Orlando, FL 32822
Phone (407) 303-6733

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

LicenseStateTypeSpecialty
PTT40319FLMDPediatric Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Hospital Medical Group Inc Past Accepting new patients
Adventist Health System-Sunbelt, Inc PastSince Jul 2, 2023 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1687737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687737600000",
    "number": "1063198026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14032 ITHACA WAY",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "32826",
            "telephone_number": "352-424-2079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1311 MINNESOTA AVE SUITE C",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "32789",
            "telephone_number": "407-303-1575"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "400 Celebration Place Suite C200",
            "address_purpose": "LOCATION",
            "city": "Celebration",
            "state": "FL",
            "postal_code": "34747",
            "country_code": "US",
            "telephone_number": "407-303-4003",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7975 Lake Underhill Road Suite 300",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "32822",
            "country_code": "US",
            "telephone_number": "407-303-6733",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "NATALYA",
        "middle_name": "OLIVIA",
        "name_prefix": "Ms.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-26",
        "last_updated": "2023-06-26",
        "certification_date": "2023-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "FL",
            "license": "PTT40319",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winter Park, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2023; 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.