Organization Active NPI

Kathe Davis, PT, PLLC

  • Physical Therapy Clinic/Center
  • Pueblo, CO
National Provider Identifier
1073784500
Registry record updated Mar 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
3879 Issued in CO
Legal business name
KATHE DAVIS, PT, PLLC
Practice address
511 West 29TH St
Suite B
Pueblo, CO 81008
Phone
(719) 543-9202
NPI assigned
Mar 12, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2008

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

Authorized official

Name
Emilie J Cook
Title
Billing/Bookkeeper
Phone
(719) 543-9202

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 3879 CO Primary

Addresses

Primary practice location

511 West 29TH St
Suite B
Pueblo, CO 81008

Mailing address

511 West 29TH St
Suite B
Pueblo, CO 81008
Phone (719) 543-9202

National Provider Directory

National Provider Directory

Locations

511 W 29th St
Ste B
Pueblo, CO 81008
Phone (719) 542-6983

NPI Registry JSON

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

{
    "created_epoch": "1205280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205280000000",
    "number": "1073784500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "511 WEST 29TH ST",
            "address_2": "SUITE B",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "81008",
            "telephone_number": "719-543-9202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "511 WEST 29TH ST",
            "address_2": "SUITE B",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "81008",
            "telephone_number": "719-543-9202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KATHE DAVIS, PT, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-12",
        "last_updated": "2008-03-12",
        "status": "A",
        "authorized_official_last_name": "COOK",
        "authorized_official_first_name": "EMILIE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "BILLING/BOOKKEEPER",
        "authorized_official_telephone_number": "719-543-9202"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "CO",
            "license": "3879",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pueblo, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2008; 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.