Active NPI
Lynn M Davis, P.T.
- Physical Therapy Clinic/Center
- Youngstown, OH
National Provider Identifier
1104082379
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- License
- PT 05599
- Practice address
- 2708 Spring Meadow Cir
Lynn Davis PT, Inc
Youngstown, OH 44515-4955 - Phone
- (330) 519-8431
- Fax
- (330) 799-3976
- NPI assigned
- Aug 6, 2008
- Sex
- Female
- Sole proprietor
- Yes
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 Therapy Clinic/Center | 261QP2000X | PT 05599 | OH | Primary |
Addresses
Primary practice location
2708 Spring Meadow Cir
Lynn Davis PT, Inc
Youngstown, OH 44515-4955
Mailing address
2708 Spring Meadow Cir
Lynn Davis PT, Inc
Youngstown, OH 44515-4955
Phone (330) 519-8431
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT 05599 | OH | MD | Physical Therapy Clinic/Center |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lynn Davis PT, Inc. | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Physical Therapist
- Youngstown, OH
- NPI 1053567057
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1217980800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1217980800000",
"number": "1104082379",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2708 SPRING MEADOW CIR",
"address_2": "LYNN DAVIS PT, INC",
"city": "YOUNGSTOWN",
"state": "OH",
"postal_code": "445154955",
"telephone_number": "330-519-8431",
"fax_number": "330-799-3976"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2708 SPRING MEADOW CIR",
"address_2": "LYNN DAVIS PT, INC",
"city": "YOUNGSTOWN",
"state": "OH",
"postal_code": "445154955",
"telephone_number": "330-519-8431",
"fax_number": "330-799-3976"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "LYNN",
"middle_name": "M",
"name_prefix": "Mrs.",
"credential": "P.T.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-08-06",
"last_updated": "2008-08-06",
"status": "A"
},
"taxonomies": [
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": "OH",
"license": "PT 05599",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Youngstown, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 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.