Laura Ellen Davidson

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

OC012188 Issued in PA

Practice address

411 N Middletown Rd
Media, PA 19063-4059

Phone

(610) 892-0667

NPI assigned

Oct 3, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1570060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570060800000",
    "number": "1083255848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "426 HEATHERWOOD DR",
            "city": "MEDIA",
            "state": "PA",
            "postal_code": "190635131",
            "telephone_number": "610-742-0376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 N MIDDLETOWN RD",
            "city": "MEDIA",
            "state": "PA",
            "postal_code": "190634059",
            "telephone_number": "610-892-0667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIDSON",
        "first_name": "LAURA",
        "middle_name": "ELLEN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-03",
        "last_updated": "2019-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "PA",
            "license": "OC012188",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "laura.davidson@actslife.org",
            "affiliation": "N",
            "endpointDescription": "work email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "411 N Middletown Rd",
            "city": "Media",
            "state": "PA",
            "country_code": "US",
            "postal_code": "190634059",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Clare Daniels, RD
• Joshua Ezeriah Danley, D.O.
• Jenna M Dannunzio, BSW
• Adeyemi Daramola
• Amanda Daum
• Zoe Davidson
• Alexis Davis, RBT
• Krystalyn T Davis
• Daya Healthcare Solutions, LLC
• Heather De Vries

• Physical Medicine & Rehabilitation Physician in Media, PA
• Providers in Media, PA by specialty
• Physical Medicine & Rehabilitation Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2019; 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.