NPIMap

Organization Active NPI

Cornelia Nixon Davis Inc.

Doing business as Rehabilitation & Wellness Pavilion/The Davis Community

  • Physical Therapist
  • Wilmington, NC
National Provider Identifier
1063703866
Registry record updated Feb 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
CORNELIA NIXON DAVIS INC.
Doing business as
Rehabilitation & Wellness Pavilion/The Davis Community
Practice address
1011 Porters Neck Rd
Wilmington, NC 28411-9196
Phone
(910) 686-7195
Fax
(910) 686-7592
NPI assigned
Apr 27, 2011
Last updated
Feb 17, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2016

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

Authorized official

Name
Mr. Vincent L McKnight, CPA
Title
Finance Administrator
Phone
(910) 566-1218

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X NC Primary
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X NC
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X NC

Addresses

Primary practice location

1011 Porters Neck Rd
Wilmington, NC 28411-9196

Mailing address

1011 Porters Neck Rd
Wilmington, NC 28411-9196
Phone (910) 686-7195

Other names 1

  • Rehabilitation & Wellness Pavilion/The Davis Community Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

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": "1303862400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1455667200000",
    "number": "1063703866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1011 PORTERS NECK RD",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284119196",
            "telephone_number": "910-686-7195",
            "fax_number": "910-686-7592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 PORTERS NECK RD",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284119196",
            "telephone_number": "910-686-7195",
            "fax_number": "910-686-7592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORNELIA NIXON DAVIS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-27",
        "last_updated": "2016-02-17",
        "status": "A",
        "authorized_official_last_name": "MCKNIGHT",
        "authorized_official_first_name": "VINCENT",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "FINANCE ADMINISTRATOR",
        "authorized_official_telephone_number": "910-566-1218",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CPA"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": null,
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": "NC",
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rehabilitation & Wellness Pavilion/The Davis Community",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wilmington, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2016; 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.