Active NPI
Kathe Davis, PT, PLLC
- Physical Therapy Clinic/Center
- Pueblo, CO
National Provider Identifier
1073784500
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- License
- 3879
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.