Loan Vo Davidson, M.S, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT15259 Issued in FL

Practice address

2828 SW 22ND St Ste 103
Coral Gables, FL 33145-3214

Phone

(786) 817-1738

NPI assigned

Feb 2, 2022

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1643760000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643760000000",
    "number": "1083367676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2828 SW 22ND ST STE 103",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331453214",
            "telephone_number": "786-817-1738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2828 SW 22ND ST STE 103",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331453214",
            "telephone_number": "786-817-1738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIDSON",
        "first_name": "LOAN",
        "middle_name": "VO",
        "name_prefix": "Mrs.",
        "credential": "M.S, PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-02-02",
        "last_updated": "2022-02-02",
        "certification_date": "2022-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT15259",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "hand.rehabilitation@yahoo.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2828 SW 22nd St Ste 103",
            "city": "Coral Gables",
            "state": "FL",
            "country_code": "US",
            "postal_code": "331453214",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Lauren Dasen, PHD
• Naghmeh Dashtiasl
• Thairis Daumy, DPT
• Tatiana Davalos Sarria
• Natalie Davidow, MS, LMHC
• Laura Jose Davila, DDS
• Aliya Lynn Davis
• Amy Summer Davis, PT
• Carol M Davis, PT,EDD,MS,FAPTA
• Dale G. Davis, M.D.

• Physical Therapist in Coral Gables, FL
• Providers in Coral Gables, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2022; 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.