Active NPI
Austin Grant Davis, PT, DPT
- Physical Therapist
- Encinitas, CA
National Provider Identifier
1063966497
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT293081
- Practice address
- 354 Santa Fe Dr
Encinitas, CA 92024-5142 - Phone
- (760) 633-6501
- Fax
- (503) 601-9001
- NPI assigned
- Aug 15, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT293081 | CA | Primary |
Addresses
Primary practice location
354 Santa Fe Dr
Encinitas, CA 92024-5142
Mailing address
354 Santa Fe Dr
Encinitas, CA 92024-5142
Phone (760) 633-6501
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
| License | State | Type | Specialty |
|---|---|---|---|
| PT293081 | CA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1471219200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1539734400000",
"number": "1063966497",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "354 SANTA FE DR",
"city": "ENCINITAS",
"state": "CA",
"postal_code": "920245142",
"telephone_number": "760-633-6501",
"fax_number": "503-601-9001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "354 SANTA FE DR",
"city": "ENCINITAS",
"state": "CA",
"postal_code": "920245142",
"telephone_number": "760-633-6501",
"fax_number": "503-601-9001"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "AUSTIN",
"middle_name": "GRANT",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-08-15",
"last_updated": "2018-10-17",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "PT293081",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Encinitas, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.