Davis Spine & Orthopedic Physical Therapy, Inc.

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

PT 24289 Issued in FL

Legal business name

DAVIS SPINE & ORTHOPEDIC PHYSICAL THERAPY, INC.

Practice address

8910 S Lake Dasha Dr
Plantation, FL 33324-3014

Phone

(612) 327-5911

NPI assigned

Sep 14, 2011

Organization subpart

No

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

Authorized official

Name

Maurice D Davis, DPTNPI 1912201252

Title

President/Ceo

Phone

(612) 327-5911

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Maurice Dempsey Davis, PT, DPT

  • Physical Therapist
  • Plantation, FL
  • NPI 1912201252
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1315958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1510272000000",
    "number": "1104108232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8910 S LAKE DASHA DR",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333243014",
            "telephone_number": "612-327-5911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8910 S LAKE DASHA DR",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333243014",
            "telephone_number": "612-327-5911"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2610 Marina Bay Dr E",
            "address_2": "402",
            "address_purpose": "LOCATION",
            "city": "Fort Lauderdale",
            "state": "FL",
            "postal_code": "333122333",
            "country_code": "US",
            "telephone_number": "612-327-5911",
            "fax_number": "954-999-0314",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DAVIS SPINE & ORTHOPEDIC PHYSICAL THERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-14",
        "last_updated": "2017-11-10",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "MAURICE",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "612-327-5911",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "FL",
            "license": "PT 24289",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David R Simon MD PHD PA
• David Steiman MD PA
• Jennifer Davidtz, PH.D.
• Rebecca Davila, MS, RMFTI
• Betsie Davilus, SA-C
• Anne Marie Davis
• Che Davis, MD
• Desiree Davis
• Jeffrey Ross Davis, P.T.
• Maurice Dempsey Davis, PT, DPT

• Physical Therapy Clinic/Center in Plantation, FL
• Providers in Plantation, FL by specialty
• Physical Therapy Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.