Individual provider Active NPI

John Scott Davis, O.T.

  • Occupational Therapist
  • Mesa, AZ
National Provider Identifier
1124079801
Registry record updated May 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
2478 Issued in AZ
Practice address
6840 E Brown Rd Ste 104
Mesa, AZ 85207-3759
Phone
(480) 719-8080
Fax
(480) 981-8595
NPI assigned
May 15, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 7, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 2478 AZ Primary

Addresses

Primary practice location

6840 E Brown Rd Ste 104
Mesa, AZ 85207-3759

Mailing address

1844 E Baseline Rd Ste C5
Tempe, AZ 85283-1506
Phone (480) 833-1005

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050205000045 AZ Practitioner - Occupational Therapist in Private Practice 6002867140 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Petersen Physical Therapy PCGroup PAC ID 5991794117, 14 clinicians

Practice addresses (Care Compare)

6840 E Brown Rd
Suite 104
Mesa, AZ 85207-3759
Phone (480) 779-4671

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Petersen Physical Therapy PC CurrentSince Sep 1, 2016 Accepting new patients
Rehab Arizona Physical and Hand Rehabilition PastSince Feb 5, 2005 Accepting new patients
Rehab Arizona Physicaltherapy East PastSince Jul 1, 2007 Accepting new patients
Carling Physical Therapy PastSince Sep 1, 2016 Accepting new patients

Locations

725 W Elliot Rd
Ste 103
Gilbert, AZ 85233
Phone (480) 892-2428

21300 N John Wayne Pkwy
Ste 125
Maricopa, AZ 85139
Phone (520) 568-2723

303 N Centennial Way
Mesa, AZ 85201
Phone (480) 649-3111

6840 E Brown Rd
Ste 104
Mesa, AZ 85207
Phone (480) 719-8080

1844 E Baseline Rd
Ste C5
Tempe, AZ 85283
Phone (480) 833-1005

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1147651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588809600000",
    "number": "1124079801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1844 E BASELINE RD STE C5",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852831506",
            "telephone_number": "480-833-1005",
            "fax_number": "480-833-1312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6840 E BROWN RD STE 104",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852073759",
            "telephone_number": "480-719-8080",
            "fax_number": "480-981-8595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "JOHN",
        "middle_name": "SCOTT",
        "name_prefix": "Mr.",
        "credential": "O.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-15",
        "last_updated": "2020-05-07",
        "certification_date": "2020-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "AZ",
            "license": "2478",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2020; 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.