Shawn E Davidson, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT5550 Issued in NM

Practice address

7424 Holly Ave NE
Albuquerque, NM 87113-2554

Phone

(505) 797-5505

Fax

(505) 797-5510

NPI assigned

Aug 22, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NM

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

University of New Mexico School of Medicine, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Armada Physical Therapy of Albuquerque LLCGroup PAC ID 9830328954, 22 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.

• Armada Physical Therapy of Albuquerque LLC

  • Multi-Specialty Clinic/Center
  • Albuquerque, NM
  • NPI 1851713663
  Medicare reassignment Care Compare group NPD
• Peak Motion Physical Therapy, Inc.

  • Physical Therapy Clinic/Center
  • Albuquerque, NM
  • NPI 1669639043

  Physical Therapist

  Medicare reassignment NPD

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

{
    "created_epoch": "1566432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566432000000",
    "number": "1104473339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7424 HOLLY AVE NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871132554",
            "telephone_number": "505-797-5505",
            "fax_number": "505-797-5510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7424 HOLLY AVE NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871132554",
            "telephone_number": "505-797-5505",
            "fax_number": "505-797-5510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIDSON",
        "first_name": "SHAWN",
        "middle_name": "E",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-08-22",
        "last_updated": "2019-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NM",
            "license": "PT5550",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen Davidson, PHD
• Margaret Ellen Davidson, MD
• Melinda Joy Davidson
• Ross Davidson
• Ross William Davidson, MA, LMFT
• Susan Davidson, SLP
• Adrian Ricketts Davies, PA
• Lea Davies, MD
• Gloria Elizabeth Davila
• Ricardo Davila, M.D.

• Physical Therapist in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Physical Therapist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2019; 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.