Kailey Davis, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

2155293 Issued in TX

Practice address

896 Summit St Ste 102
Round Rock, TX 78664-4370

Phone

(512) 599-4262

NPI assigned

Aug 24, 2020

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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 and National Provider Directory roles.

• Endeavor Rehab Center Inc

  • Physical Therapist
  • Austin, TX
  • NPI 1760506232

  Single Specialty

  NPD
• Endeavor Rehab Center Inc

  • Physical Therapist
  • Athens, TX
  • NPI 1548045156
  NPD (past)

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

{
    "created_epoch": "1598227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598227200000",
    "number": "1073125779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1033 LA POSADA DR STE 230",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787523842",
            "telephone_number": "512-284-7192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "896 SUMMIT ST STE 102",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786644370",
            "telephone_number": "512-599-4262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "KAILEY",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-08-24",
        "last_updated": "2020-08-24",
        "certification_date": "2020-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapy Assistant",
            "state": "TX",
            "license": "2155293",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christina Davis, DO
• Debra L Davis, LCSW
• Emily Davis, PA-C
• Jayla Davis, RBT
• Joanna L. Davis, D.D.S.,M.S.
• Lekisher Lashone Davis, LVN
• Rynese A Davis
• Shila Sue Davis, FNP
• Wendy G Davis
• Lashonda Rene Dawn

• Physical Therapy Assistant in Round Rock, TX
• Providers in Round Rock, TX by specialty
• Physical Therapy Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2020; 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.