Active NPI
Courtney Rose Dedea Davis, PT, DPT
- Physical Therapist
- Tucson, AZ
National Provider Identifier
1083518922
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 29099
- Practice address
- 355 N Wilmot Rd
Tucson, AZ 85711-2601 - Phone
- (520) 540-2001
- NPI assigned
- Oct 5, 2026
- Last updated
- Oct 10, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 29099 | MD | Primary |
Addresses
Primary practice location
355 N Wilmot Rd
Tucson, AZ 85711-2601
Mailing address
200 Altamont Ave
Catonsville, MD 21228-3514
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1791158400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1791590400000",
"number": "1083518922",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 ALTAMONT AVE",
"city": "CATONSVILLE",
"state": "MD",
"postal_code": "212283514"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "355 N WILMOT RD",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857112601",
"telephone_number": "520-540-2001"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "COURTNEY",
"middle_name": "ROSE DEDEA",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-10-05",
"last_updated": "2026-10-10",
"certification_date": "2026-10-10",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MD",
"license": "29099",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tucson, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.