Kaytlen Anne Davis, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT3058 Issued in ME

Practice address

86 Main St Unit 204a
Auburn, ME 04210-5853

Phone

(207) 333-5022

Fax

(207) 333-5089

NPI assigned

May 1, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other names 1

• Miss Kaytlen Anne Berry Former name

Medicare fee-for-service enrollment

Enrolled in ME

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Davis PT a Balanced Approach LLCGroup PAC ID 3274868898, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Davis PT: a Balanced Approach, LLC

  • Physical Therapy Clinic/Center
  • Auburn, ME
  • NPI 1508427162

  Physical Therapist

  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1177977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609891200000",
    "number": "1104047737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "86 MAIN ST UNIT 204A",
            "city": "AUBURN",
            "state": "ME",
            "postal_code": "042105853",
            "telephone_number": "207-333-5022",
            "fax_number": "207-333-5089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "86 MAIN ST UNIT 204A",
            "city": "AUBURN",
            "state": "ME",
            "postal_code": "042105853",
            "telephone_number": "207-333-5022",
            "fax_number": "207-333-5089"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "650 Sewell Street",
            "address_purpose": "LOCATION",
            "city": "Brunswick",
            "state": "ME",
            "postal_code": "04011",
            "country_code": "US",
            "telephone_number": "207-921-1320",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "143 Hebron Rd",
            "address_purpose": "LOCATION",
            "city": "Buckfield",
            "state": "ME",
            "postal_code": "042204135",
            "country_code": "US",
            "telephone_number": "207-513-7115",
            "fax_number": "207-966-0009",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "KAYTLEN",
        "middle_name": "ANNE",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-01",
        "last_updated": "2021-01-06",
        "certification_date": "2021-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "ME",
            "license": "PT3058",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "ME",
            "license": "3058",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ME",
            "license": "PT3058",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAYTLEN",
            "last_name": "BERRY",
            "middle_name": "ANNE",
            "prefix": "MISS",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Michael Kenneth Cyr, D.C.
• Elizabeth Sequoia Dance, LMSW/CC
• Danyka Group LLC
• Jeffrey Neil Davila, M.D.
• Davis PT: a Balanced Approach, LLC
• Dawn Herrick Counseling
• Dba Central Maine Conditioning Clinic
• Debra Ramon
• Dawn Ennis Decotiis, FNP
• Michael Joseph Defrance, D.O.

• Physical Therapist in Auburn, ME
• Providers in Auburn, ME by specialty
• Physical Therapist in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.